11-05-2008, 09:39 AM
A 44-year-old obese woman presents to the emergency department complaining of 3 hours of severe abdominal pain. She has also had multiple episodes of vomiting during this time. She describes the pain as "worse than labor," and it radiates to the interscapular region. Her temperature is 38.9 C (102 F), and she has severe tenderness in her right upper quadrant. She reports that she has had multiple similar episodes in the past that have lasted approximately 30 minutes and then resolved spontaneously. Which of the following is most likely being obstructed by a gallstone?
A. Common bile duct
B. Common hepatic duct
C. Cystic duct
D. Pancreatic duct
E. Right hepatic duct