Cholelithiasis Differential Diagnoses
- Author: Douglas M Heuman, MD, FACP, FACG, AGAF; Chief Editor: Julian Katz, MD more...
Diagnostic Considerations
Consider that both intra-abdominal and extra-abdominal pathology can present as upper abdominal pain, and that these conditions often coexist with cholelithiasis. Among the different entities to consider are peptic ulcer disease, pancreatitis (acute or chronic), hepatitis, dyspepsia, gastroesophageal reflux disease (GERD), irritable bowel syndrome, esophageal spasm, pneumonia, cardiac chest pain, and diabetic ketoacidosis. A careful history and physical examination should guide further workup.
Differential Diagnoses
- Appendicitis
- Bile Duct Strictures
- Bile Duct Tumors
- Cholangiocarcinoma
- Cholecystitis
- Gallbladder Cancer
- Gastritis and Peptic Ulcer Disease
- Gastroenteritis
- Pancreatic Cancer
- Pancreatitis, Acute
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