Indirect Fist Percussion of the Liver Is a More Sensitive Technique for Detecting Hepatobiliary Infections than Murphy’s Sign

Figure 1

Diagnostic sensitivity. The sensitivity of indirect fist percussion of the liver was higher than that of Murphy’s sign for acute cholecystitis and acute cholangitis. Indirect fist percussion of the liver tended to be positive in the presence of cholelithiasis, alcoholic hepatitis, viral hepatitis, and drug-induced hepatitis.