| Summary points: | A 47-year-old male with a history of chronic hepatitis C who presents to hospital with abdominal pain and vomiting is treated for acute cholecystitis. Three days following laparscopic cholecystectomy, he complains of abdominal pain. Preoperative physical examination, laboratory data, and ultrasound are described as are postoperative treatment and outcomes. The authors discuss adverse hepatic effects associated with H2 receptor antagonists and review 4 cases of famotidine-related hepatic failure. |