Images in emergency medicine
Man with Right Upper Quadrant Abdominal Pain

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Diagnosis

Symptomatic cholelithiasis with Phrygian cap morphology. A Phrygian cap gallbladder is an anatomical variant that occurs in approximately 4% to 7% of the population.1,2 It is caused by a small fold joining the fundus to the body of the gallbladder.3 This does not increase the risk of cholelithiasis or cholecystitis.1,4 However, in more pronounced cases, the fundus creates large septa within the lumen, which increases the risk of stasis and stone formation.5 The patient was discharged

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For the diagnosis and teaching points, see page e92.

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