Acute acalculous cholecystitis

Case contributed by Paul Adamoli , 20 Dec 2018
Diagnosis almost certain
Changed by Yaïr Glick, 5 Apr 2019

Updates to Case Attributes

Body was changed:

This case illustrates features of acute acalculous cholecystitis. It’s is an infrequent manifestation of several viral infections. In our case, it is suggested to be a complication of primary Epstein Barr-Barr viral infection.

  • -<p>This case illustrates features of <a title="Acute acalculous cholecystitis" href="/articles/acute-acalculous-cholecystitis">acute acalculous cholecystitis</a>. It’s an infrequent manifestation of several viral infections. In our case, it is suggested to be a complication of primary Epstein Barr infection.</p><p><!--[if gte mso 9]><xml>
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  • +<p>This case illustrates features of <a href="/articles/acute-acalculous-cholecystitis">acute acalculous cholecystitis</a>. It is an infrequent manifestation of several viral infections. In our case, it is suggested to be a complication of primary Epstein-Barr viral infection.</p><p><!--[if gte mso 9]><xml>
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  • + Name="footnote text"/>
  • + <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
  • + Name="annotation text"/>
  • + <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
  • + Name="header"/>
  • + <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
  • + Name="footer"/>
  • + <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
  • + Name="index heading"/>
  • + <w:LsdException Locked="false" Priority="35" SemiHidden="true"
  • + UnhideWhenUsed="true" QFormat="true" Name="caption"/>
  • + <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
  • + Name="table of figures"/>
  • + <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
  • + Name="envelope address"/>
  • + <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
  • + Name="envelope return"/>
  • + <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
  • + Name="footnote reference"/>
  • + <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
  • + Name="annotation reference"/>
  • + <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
  • + Name="line number"/>
  • + <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
  • + Name="page number"/>
  • + <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
  • + Name="endnote reference"/>
  • + <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
  • + Name="endnote text"/>
  • + <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
  • + Name="table of authorities"/>
  • + <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
  • + Name="macro"/>
  • + <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
  • + Name="toa heading"/>
  • + <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
  • + Name="List"/>
  • + <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
  • + Name="List Bullet"/>
  • + <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
  • + Name="List Number"/>
  • + <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
  • + Name="List 2"/>
  • + <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
  • + Name="List 3"/>
  • + <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
  • + Name="List 4"/>
  • + <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
  • + Name="List 5"/>
  • + <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
  • + Name="List Bullet 2"/>
  • + <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
  • + Name="List Bullet 3"/>
  • + <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
  • + Name="List Bullet 4"/>
  • + <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
  • + Name="List Bullet 5"/>
  • + <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
  • + Name="List Number 2"/>
  • + <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
  • + Name="List Number 3"/>
  • + <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
  • + Name="List Number 4"/>
  • + <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
  • + Name="List Number 5"/>
  • + <w:LsdException Locked="false" Priority="10" QFormat="true" Name="Title"/>
  • + <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
  • + Name="Closing"/>
  • + <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
  • + Name="Signature"/>
  • + <w:LsdException Locked="false" Priority="1" SemiHidden="true"
  • + UnhideWhenUsed="true" Name="Default Paragraph Font"/>
  • + <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
  • + Name="Body Text"/>
  • + <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
  • + Name="Body Text Indent"/>
  • + <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
  • + Name="List Continue"/>
  • + <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
  • + Name="List Continue 2"/>
  • + <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
  • + Name="List Continue 3"/>
  • + <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
  • + Name="List Continue 4"/>
  • + <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
  • + Name="List Continue 5"/>
  • + <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
  • + Name="Message Header"/>
  • + <w:LsdException Locked="false" Priority="11" QFormat="true" Name="Subtitle"/>
  • + <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
  • + Name="Salutation"/>
  • + <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
  • + Name="Date"/>
  • + <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
  • + Name="Body Text First Indent"/>
  • + <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
  • + Name="Body Text First Indent 2"/>
  • + <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
  • + Name="Note Heading"/>
  • + <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
  • + Name="Body Text 2"/>
  • + <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
  • + Name="Body Text 3"/>
  • + <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
  • + Name="Body Text Indent 2"/>
  • + <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
  • + Name="Body Text Indent 3"/>
  • + <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
  • + Name="Block Text"/>
  • + <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
  • + Name="Hyperlink"/>
  • + <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
  • + Name="FollowedHyperlink"/>
  • + <w:LsdException Locked="false" Priority="22" QFormat="true" Name="Strong"/>
  • + <w:LsdException Locked="false" Priority="20" QFormat="true" Name="Emphasis"/>
  • + <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
  • + Name="Document Map"/>
  • + <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
  • + Name="Plain Text"/>
  • + <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
  • + Name="E-mail Signature"/>
  • + <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
  • + Name="HTML Top of Form"/>
  • + <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
  • + Name="HTML Bottom of Form"/>
  • + <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
  • + Name="Normal (Web)"/>
  • + <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
  • + Name="HTML Acronym"/>
  • + <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
  • + Name="HTML Address"/>
  • + <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
  • + Name="HTML Cite"/>
  • + <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
  • + Name="HTML Code"/>
  • + <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
  • + Name="HTML Definition"/>
  • + <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
  • + Name="HTML Keyboard"/>
  • + <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
  • + Name="HTML Preformatted"/>
  • + <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
  • + Name="HTML Sample"/>
  • + <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
  • + Name="HTML Typewriter"/>
  • + <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
  • + Name="HTML Variable"/>
  • + <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
  • + Name="Normal Table"/>
  • + <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
  • + Name="annotation subject"/>
  • + <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
  • + Name="No List"/>
  • + <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
  • + Name="Outline List 1"/>
  • + <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
  • + Name="Outline List 2"/>
  • + <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
  • + Name="Outline List 3"/>
  • + <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
  • + Name="Table Simple 1"/>
  • + <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
  • + Name="Table Simple 2"/>
  • + <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
  • + Name="Table Simple 3"/>
  • + <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
  • + Name="Table Classic 1"/>
  • + <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
  • + Name="Table Classic 2"/>
  • + <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
  • + Name="Table Classic 3"/>
  • + <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
  • + Name="Table Classic 4"/>
  • + <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
  • + Name="Table Colorful 1"/>
  • + <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
  • + Name="Table Colorful 2"/>
  • + <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
  • + Name="Table Colorful 3"/>
  • + <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
  • + Name="Table Columns 1"/>
  • + <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
  • + Name="Table Columns 2"/>
  • + <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
  • + Name="Table Columns 3"/>
  • + <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
  • + Name="Table Columns 4"/>
  • + <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
  • + Name="Table Columns 5"/>
  • + <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
  • + Name="Table Grid 1"/>
  • + <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
  • + Name="Table Grid 2"/>
  • + <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
  • + Name="Table Grid 3"/>
  • + <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
  • + Name="Table Grid 4"/>
  • + <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
  • + Name="Table Grid 5"/>
  • + <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
  • + Name="Table Grid 6"/>
  • + <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
  • + Name="Table Grid 7"/>
  • + <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
  • + Name="Table Grid 8"/>
  • + <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
  • + Name="Table List 1"/>
  • + <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
  • + Name="Table List 2"/>
  • + <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
  • + Name="Table List 3"/>
  • + <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
  • + Name="Table List 4"/>
  • + <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
  • + Name="Table List 5"/>
  • + <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
  • + Name="Table List 6"/>
  • + <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
  • + Name="Table List 7"/>
  • + <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
  • + Name="Table List 8"/>
  • + <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
  • + Name="Table 3D effects 1"/>
  • + <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
  • + Name="Table 3D effects 2"/>
  • + <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
  • + Name="Table 3D effects 3"/>
  • + <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
  • + Name="Table Contemporary"/>
  • + <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
  • + Name="Table Elegant"/>
  • + <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
  • + Name="Table Professional"/>
  • + <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
  • + Name="Table Subtle 1"/>
  • + <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
  • + Name="Table Subtle 2"/>
  • + <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
  • + Name="Table Web 1"/>
  • + <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
  • + Name="Table Web 2"/>
  • + <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
  • + Name="Table Web 3"/>
  • + <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
  • + Name="Balloon Text"/>
  • + <w:LsdException Locked="false" Priority="39" Name="Table Grid"/>
  • + <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
  • + Name="Table Theme"/>
  • + <w:LsdException Locked="false" SemiHidden="true" Name="Placeholder Text"/>
  • + <w:LsdException Locked="false" Priority="1" QFormat="true" Name="No Spacing"/>
  • + <w:LsdException Locked="false" Priority="60" Name="Light Shading"/>
  • + <w:LsdException Locked="false" Priority="61" Name="Light List"/>
  • + <w:LsdException Locked="false" Priority="62" Name="Light Grid"/>
  • + <w:LsdException Locked="false" Priority="63" Name="Medium Shading 1"/>
  • + <w:LsdException Locked="false" Priority="64" Name="Medium Shading 2"/>
  • + <w:LsdException Locked="false" Priority="65" Name="Medium List 1"/>
  • + <w:LsdException Locked="false" Priority="66" Name="Medium List 2"/>
  • + <w:LsdException Locked="false" Priority="67" Name="Medium Grid 1"/>
  • + <w:LsdException Locked="false" Priority="68" Name="Medium Grid 2"/>
  • + <w:LsdException Locked="false" Priority="69" Name="Medium Grid 3"/>
  • + <w:LsdException Locked="false" Priority="70" Name="Dark List"/>
  • + <w:LsdException Locked="false" Priority="71" Name="Colorful Shading"/>
  • + <w:LsdException Locked="false" Priority="72" Name="Colorful List"/>
  • + <w:LsdException Locked="false" Priority="73" Name="Colorful Grid"/>
  • + <w:LsdException Locked="false" Priority="60" Name="Light Shading Accent 1"/>
  • + <w:LsdException Locked="false" Priority="61" Name="Light List Accent 1"/>
  • + <w:LsdException Locked="false" Priority="62" Name="Light Grid Accent 1"/>
  • + <w:LsdException Locked="false" Priority="63" Name="Medium Shading 1 Accent 1"/>
  • + <w:LsdException Locked="false" Priority="64" Name="Medium Shading 2 Accent 1"/>
  • + <w:LsdException Locked="false" Priority="65" Name="Medium List 1 Accent 1"/>
  • + <w:LsdException Locked="false" SemiHidden="true" Name="Revision"/>
  • + <w:LsdException Locked="false" Priority="34" QFormat="true"
  • + Name="List Paragraph"/>
  • + <w:LsdException Locked="false" Priority="29" QFormat="true" Name="Quote"/>
  • + <w:LsdException Locked="false" Priority="30" QFormat="true"
  • + Name="Intense Quote"/>
  • + <w:LsdException Locked="false" Priority="66" Name="Medium List 2 Accent 1"/>
  • + <w:LsdException Locked="false" Priority="67" Name="Medium Grid 1 Accent 1"/>
  • + <w:LsdException Locked="false" Priority="68" Name="Medium Grid 2 Accent 1"/>
  • + <w:LsdException Locked="false" Priority="69" Name="Medium Grid 3 Accent 1"/>
  • + <w:LsdException Locked="false" Priority="70" Name="Dark List Accent 1"/>
  • + <w:LsdException Locked="false" Priority="71" Name="Colorful Shading Accent 1"/>
  • + <w:LsdException Locked="false" Priority="72" Name="Colorful List Accent 1"/>
  • + <w:LsdException Locked="false" Priority="73" Name="Colorful Grid Accent 1"/>
  • + <w:LsdException Locked="false" Priority="60" Name="Light Shading Accent 2"/>
  • + <w:LsdException Locked="false" Priority="61" Name="Light List Accent 2"/>
  • + <w:LsdException Locked="false" Priority="62" Name="Light Grid Accent 2"/>
  • + <w:LsdException Locked="false" Priority="63" Name="Medium Shading 1 Accent 2"/>
  • + <w:LsdException Locked="false" Priority="64" Name="Medium Shading 2 Accent 2"/>
  • + <w:LsdException Locked="false" Priority="65" Name="Medium List 1 Accent 2"/>
  • + <w:LsdException Locked="false" Priority="66" Name="Medium List 2 Accent 2"/>
  • + <w:LsdException Locked="false" Priority="67" Name="Medium Grid 1 Accent 2"/>
  • + <w:LsdException Locked="false" Priority="68" Name="Medium Grid 2 Accent 2"/>
  • + <w:LsdException Locked="false" Priority="69" Name="Medium Grid 3 Accent 2"/>
  • + <w:LsdException Locked="false" Priority="70" Name="Dark List Accent 2"/>
  • + <w:LsdException Locked="false" Priority="71" Name="Colorful Shading Accent 2"/>
  • + <w:LsdException Locked="false" Priority="72" Name="Colorful List Accent 2"/>
  • + <w:LsdException Locked="false" Priority="73" Name="Colorful Grid Accent 2"/>
  • + <w:LsdException Locked="false" Priority="60" Name="Light Shading Accent 3"/>
  • + <w:LsdException Locked="false" Priority="61" Name="Light List Accent 3"/>
  • + <w:LsdException Locked="false" Priority="62" Name="Light Grid Accent 3"/>
  • + <w:LsdException Locked="false" Priority="63" Name="Medium Shading 1 Accent 3"/>
  • + <w:LsdException Locked="false" Priority="64" Name="Medium Shading 2 Accent 3"/>
  • + <w:LsdException Locked="false" Priority="65" Name="Medium List 1 Accent 3"/>
  • + <w:LsdException Locked="false" Priority="66" Name="Medium List 2 Accent 3"/>
  • + <w:LsdException Locked="false" Priority="67" Name="Medium Grid 1 Accent 3"/>
  • + <w:LsdException Locked="false" Priority="68" Name="Medium Grid 2 Accent 3"/>
  • + <w:LsdException Locked="false" Priority="69" Name="Medium Grid 3 Accent 3"/>
  • + <w:LsdException Locked="false" Priority="70" Name="Dark List Accent 3"/>
  • + <w:LsdException Locked="false" Priority="71" Name="Colorful Shading Accent 3"/>
  • + <w:LsdException Locked="false" Priority="72" Name="Colorful List Accent 3"/>
  • + <w:LsdException Locked="false" Priority="73" Name="Colorful Grid Accent 3"/>
  • + <w:LsdException Locked="false" Priority="60" Name="Light Shading Accent 4"/>
  • + <w:LsdException Locked="false" Priority="61" Name="Light List Accent 4"/>
  • + <w:LsdException Locked="false" Priority="62" Name="Light Grid Accent 4"/>
  • + <w:LsdException Locked="false" Priority="63" Name="Medium Shading 1 Accent 4"/>
  • + <w:LsdException Locked="false" Priority="64" Name="Medium Shading 2 Accent 4"/>
  • + <w:LsdException Locked="false" Priority="65" Name="Medium List 1 Accent 4"/>
  • + <w:LsdException Locked="false" Priority="66" Name="Medium List 2 Accent 4"/>
  • + <w:LsdException Locked="false" Priority="67" Name="Medium Grid 1 Accent 4"/>
  • + <w:LsdException Locked="false" Priority="68" Name="Medium Grid 2 Accent 4"/>
  • + <w:LsdException Locked="false" Priority="69" Name="Medium Grid 3 Accent 4"/>
  • + <w:LsdException Locked="false" Priority="70" Name="Dark List Accent 4"/>
  • + <w:LsdException Locked="false" Priority="71" Name="Colorful Shading Accent 4"/>
  • + <w:LsdException Locked="false" Priority="72" Name="Colorful List Accent 4"/>
  • + <w:LsdException Locked="false" Priority="73" Name="Colorful Grid Accent 4"/>
  • + <w:LsdException Locked="false" Priority="60" Name="Light Shading Accent 5"/>
  • + <w:LsdException Locked="false" Priority="61" Name="Light List Accent 5"/>
  • + <w:LsdException Locked="false" Priority="62" Name="Light Grid Accent 5"/>
  • + <w:LsdException Locked="false" Priority="63" Name="Medium Shading 1 Accent 5"/>
  • + <w:LsdException Locked="false" Priority="64" Name="Medium Shading 2 Accent 5"/>
  • + <w:LsdException Locked="false" Priority="65" Name="Medium List 1 Accent 5"/>
  • + <w:LsdException Locked="false" Priority="66" Name="Medium List 2 Accent 5"/>
  • + <w:LsdException Locked="false" Priority="67" Name="Medium Grid 1 Accent 5"/>
  • + <w:LsdException Locked="false" Priority="68" Name="Medium Grid 2 Accent 5"/>
  • + <w:LsdException Locked="false" Priority="69" Name="Medium Grid 3 Accent 5"/>
  • + <w:LsdException Locked="false" Priority="70" Name="Dark List Accent 5"/>
  • + <w:LsdException Locked="false" Priority="71" Name="Colorful Shading Accent 5"/>
  • + <w:LsdException Locked="false" Priority="72" Name="Colorful List Accent 5"/>
  • + <w:LsdException Locked="false" Priority="73" Name="Colorful Grid Accent 5"/>
  • + <w:LsdException Locked="false" Priority="60" Name="Light Shading Accent 6"/>
  • + <w:LsdException Locked="false" Priority="61" Name="Light List Accent 6"/>
  • + <w:LsdException Locked="false" Priority="62" Name="Light Grid Accent 6"/>
  • + <w:LsdException Locked="false" Priority="63" Name="Medium Shading 1 Accent 6"/>
  • + <w:LsdException Locked="false" Priority="64" Name="Medium Shading 2 Accent 6"/>
  • + <w:LsdException Locked="false" Priority="65" Name="Medium List 1 Accent 6"/>
  • + <w:LsdException Locked="false" Priority="66" Name="Medium List 2 Accent 6"/>
  • + <w:LsdException Locked="false" Priority="67" Name="Medium Grid 1 Accent 6"/>
  • + <w:LsdException Locked="false" Priority="68" Name="Medium Grid 2 Accent 6"/>
  • + <w:LsdException Locked="false" Priority="69" Name="Medium Grid 3 Accent 6"/>
  • + <w:LsdException Locked="false" Priority="70" Name="Dark List Accent 6"/>
  • + <w:LsdException Locked="false" Priority="71" Name="Colorful Shading Accent 6"/>
  • + <w:LsdException Locked="false" Priority="72" Name="Colorful List Accent 6"/>
  • + <w:LsdException Locked="false" Priority="73" Name="Colorful Grid Accent 6"/>
  • + <w:LsdException Locked="false" Priority="19" QFormat="true"
  • + Name="Subtle Emphasis"/>
  • + <w:LsdException Locked="false" Priority="21" QFormat="true"
  • + Name="Intense Emphasis"/>
  • + <w:LsdException Locked="false" Priority="31" QFormat="true"
  • + Name="Subtle Reference"/>
  • + <w:LsdException Locked="false" Priority="32" QFormat="true"
  • + Name="Intense Reference"/>
  • + <w:LsdException Locked="false" Priority="33" QFormat="true" Name="Book Title"/>
  • + <w:LsdException Locked="false" Priority="37" SemiHidden="true"
  • + UnhideWhenUsed="true" Name="Bibliography"/>
  • + <w:LsdException Locked="false" Priority="39" SemiHidden="true"
  • + UnhideWhenUsed="true" QFormat="true" Name="TOC Heading"/>
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  • +<style>
  • + /* Style Definitions */
  • + table.MsoNormalTable
  • + {mso-style-name:"Tabella normale";
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References changed:

  • 5. Gora-Gebka M, Liberek A, Bako W, Szarszewski A, Kamińska B, Korzon M. Acute acalculous cholecystitis of viral etiology--a rare condition in children?. (2008) Journal of pediatric surgery. 43 (1): e25-7. <a href="https://doi.org/10.1016/j.jpedsurg.2007.10.073">doi:10.1016/j.jpedsurg.2007.10.073</a> - <a href="https://www.ncbi.nlm.nih.gov/pubmed/18206441">Pubmed</a> <span class="ref_v4"></span>

Updates to Study Attributes

Images Changes:

Image Ultrasound (Longitudinal) ( update )

Perspective was set to Longitudinal.

Image Ultrasound (Transverse) ( update )

Perspective was set to Transverse.

Image 1 Ultrasound (Longitudinal) ( create )

Image 2 Ultrasound (Transverse) ( create )

Updates to Study Attributes

Images Changes:

Image Ultrasound (Transverse) ( update )

Perspective was set to Transverse.

Image 1 Ultrasound (Transverse) ( create )

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