A 50-year-old woman with a history of flatulent dyspepsia suddenly experienced an excruciating colicky pain across the upper part of the abdomen. On examination after the attack, some rigidity and tenderness was noted in the right hypochondrium. Two days later the patient became jaundiced, and it was noticed that the degree of jaundice varied from day to day. The diagnosis of biliary colic was made. Why should a person passing a gallstone experience pain? Why is the pain experienced in the area described above? Why does the jaundice vary in intensity?

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The Answer of A 50-year-old woman with a history of flatulent dyspepsia suddenly experienced an excruciating colicky pain across the upper part of the abdomen. On examination after the attack, some rigidity and tenderness was noted in the right hypochondrium. Two days later the patient became jaundiced, and it was noticed that the degree of jaundice varied from day to day. The diagnosis of biliary colic was made. Why should a person passing a gallstone experience pain? Why is the pain experienced in the area described above? Why does the jaundice vary in intensity?

A 50-Year-Old Woman with a History of Flatulent Dyspepsia Suddenly