Intrathoracic Acute Cholecystitis
The authors present the case of a 51-year-old woman with no history of surgical or traumatic injury or accident, who presented with right hypochondrium and epigastric discomfort, malaise, nausea, loss of appetite and episodes of dark urine and greenish stools. Initial laboratory work-up revealed ele...
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2020-06-01
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doaj-1b25a86528ba49158f737e7797b484ad2020-11-25T02:59:26ZengSMC MEDIA SRLEuropean Journal of Case Reports in Internal Medicine2284-25942020-06-0110.12890/2020_0017641395Intrathoracic Acute CholecystitisGiovana Ennis0Gabriela Venade1Joana Silva Marques2Paulo Batista3Ana Abreu Nunes4Júlio Constantino5Luis Costa Matos6Department of Internal Medicine, Hospital CUF Viseu, PortugalDepartment of Internal Medicine, Hospital CUF Viseu, PortugalDepartment of Internal Medicine, Hospital CUF Viseu, PortugalDepartment of Internal Medicine, Hospital CUF Viseu, PortugalDepartment of Internal Medicine, Hospital CUF Viseu, PortugalDepartment of Surgery, Hospital CUF Viseu, PortugalDepartment of Internal Medicine, Hospital CUF Viseu, PortugalThe authors present the case of a 51-year-old woman with no history of surgical or traumatic injury or accident, who presented with right hypochondrium and epigastric discomfort, malaise, nausea, loss of appetite and episodes of dark urine and greenish stools. Initial laboratory work-up revealed elevated inflammatory markers including leucocytosis with left shift and C-reactive protein, and a slight elevation of gamma-glutamyltransferase and alkaline phosphatase, with no other significant alterations. Computed tomography (CT) showed intrathoracic acute cholecystitis with a large diaphragmatic hernia. A literature search revealed only one other case of acute cholecystitis complicated by intrathoracic gallbladder due to a non-traumatic diaphragmatic hernia. Symptoms are uncharacteristic and the absence of pain or fever, explained by the altered location of the gallbladder, makes the diagnosis a challenge.https://www.ejcrim.com/index.php/EJCRIM/article/view/1764intrathoracic acute cholecystitisdiaphragmatic hernianon-traumatic |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Giovana Ennis Gabriela Venade Joana Silva Marques Paulo Batista Ana Abreu Nunes Júlio Constantino Luis Costa Matos |
spellingShingle |
Giovana Ennis Gabriela Venade Joana Silva Marques Paulo Batista Ana Abreu Nunes Júlio Constantino Luis Costa Matos Intrathoracic Acute Cholecystitis European Journal of Case Reports in Internal Medicine intrathoracic acute cholecystitis diaphragmatic hernia non-traumatic |
author_facet |
Giovana Ennis Gabriela Venade Joana Silva Marques Paulo Batista Ana Abreu Nunes Júlio Constantino Luis Costa Matos |
author_sort |
Giovana Ennis |
title |
Intrathoracic Acute Cholecystitis |
title_short |
Intrathoracic Acute Cholecystitis |
title_full |
Intrathoracic Acute Cholecystitis |
title_fullStr |
Intrathoracic Acute Cholecystitis |
title_full_unstemmed |
Intrathoracic Acute Cholecystitis |
title_sort |
intrathoracic acute cholecystitis |
publisher |
SMC MEDIA SRL |
series |
European Journal of Case Reports in Internal Medicine |
issn |
2284-2594 |
publishDate |
2020-06-01 |
description |
The authors present the case of a 51-year-old woman with no history of surgical or traumatic injury or accident, who presented with right hypochondrium and epigastric discomfort, malaise, nausea, loss of appetite and episodes of dark urine and greenish stools. Initial laboratory work-up revealed elevated inflammatory markers including leucocytosis with left shift and C-reactive protein, and a slight elevation of gamma-glutamyltransferase and alkaline phosphatase, with no other significant alterations. Computed tomography (CT) showed intrathoracic acute cholecystitis with a large diaphragmatic hernia.
A literature search revealed only one other case of acute cholecystitis complicated by intrathoracic gallbladder due to a non-traumatic diaphragmatic hernia. Symptoms are uncharacteristic and the absence of pain or fever, explained by the altered location of the gallbladder, makes the diagnosis a challenge. |
topic |
intrathoracic acute cholecystitis diaphragmatic hernia non-traumatic |
url |
https://www.ejcrim.com/index.php/EJCRIM/article/view/1764 |
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1724702400322732032 |