
Mr Muhammad Imtiaz (he requested to disclose his identity), age 45 years, resident of Lahore, printer and publisher by profession, was known case of GALLSTONES / cholelithiasis / choledocholethiasis when (in April 2016) he came along for purpose of seeking relief from an acute exacerbation of his prolonged chronic gall bladder related issues. He was actively taking treatment from last two years when he showed up. This patient had a very significant and long journey of diagnostic and therapeutic interventions (both invasive and non-invasive) and a long series of lab tests which needs a detailed review.
Detailed history of presenting illness
He has always been in good state of health with no major complaints / pains when back in 2013 he started feeling pain in right hypochondrium which occurred on and off initially. Then frequency of attacks increased with the passage of time. The pain was sudden in onset, severe in intensity, radiated to stomach and also to the back side along with rib cage. The attack of pain was usually followed by ingestion of fatty / oily / fried meals. The magnitude of pain used to raise to the point where he needed to see doctor on emergency basis
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