Sonographic Murphy sign

Dr Tim Luijkx and Dr Henry Knipe et al.

Sonographic Murphy sign (SMS) is defined as maximal abdominal tenderness from pressure of the ultrasound probe over the visualised gallbladder 1,2.

SMS is a sign of local inflammation around the gallbladder along with right upper quadrant pain, tenderness or mass 2.

It is one of the most important sonographic signs of cholecystitis and when combined with the presence or absence of cholelithiasis it has a high positive and negative predictive value respectively 3

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Article information

rID: 23318
Section: Signs
Synonyms or Alternate Spellings:
  • Sonographic Murphy's sign
  • Ultrasound Murphy's sign

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