title: [Patient with right-sided epigastric pain and "negative" ultrasound].
abstract: In most cases pain in the right upper abdominal quadrant is of biliary origin. Diseases of the biliary system are often visualized by ultrasonography; however, a negative test does not rule out a biliary cause. Moreover, a number of several non-biliary diseases have to be considered. Patient history, physical examination and laboratory findings determine the further diagnostic approach and include radiologic (i.e. CT/scintigraphy) and/or endoscopic (upper GI endoscopy, ERCP) examinations. In difficult diagnostic situations specialized diagnostic tools may be indicated (e.g. manometry in suspected dysfunction sphincter of the Oddi.
authors.affiliation: Abteilung für Innere Medizin, Israelitisches Krankenhaus, Hamburg.
authors.forename: U
authors.initials: U
authors.lastname: Rosien
authors.forename: P
authors.initials: P
authors.lastname: Layer
mesh_terms: D015746:Abdominal Pain / Q000209:etiology*; D002769:Cholelithiasis / Q000175:diagnosis*; D003937:Diagnosis, Differential; D006801:Humans; D014463:Ultrasonography
vernacular_title: Der Patient mit rechtsseitigen Oberbauchbeschwerden und "negativem" Sonogramm.