Elderly female presented with anorexia, malaise, fever, pain upper abdomen, non bilious vomiting, and yellowish discolouration of eyes since 20 days duration. o/e- gross pallor, icterus, sweating, dehydration. An ill defined lump was present in the right upper quadrant. Right upper abdomen was tender on palpation. Minimum rebound tenderness was also noted in the right upper abdomen. Skin overlying the right upper quadrant was erythematous and firm.

Patient Data

Age: 65 years
Gender: Female