Intrathoracic Acute Cholecystitis

Ennis, Giovana and Venade, Gabriela and Silva Marques, Joana and Batista, Paulo and Abreu Nunes, Ana and Constantino, Júlio and Costa Matos, Luís (2020) Intrathoracic Acute Cholecystitis. European Journal of Case Reports in Internal Medicine, 7 (9). pp. 1-3. ISSN ISSN: 2284-2594

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Abstract

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.

Item Type:	Article
Uncontrolled Keywords:	Intrathoracic acute cholecystitis, diaphragmatic hernia, non-traumatic
Subjects:	600 Tecnologia - Scienze applicate 600 Tecnologia - Scienze applicate > 610 Medicina e salute (Classificare qui la tecnologia dei servizi medici) 600 Tecnologia - Scienze applicate > 610 Medicina e salute (Classificare qui la tecnologia dei servizi medici) > 616 Malattie (classificare qui la Clinica medica, la medicina basata sull'evidenza, la Medicina interna, la Medicina sperimentale)
Depositing User:	Marina Spanti
Date Deposited:	15 Dec 2021 13:16
Last Modified:	15 Dec 2021 13:16
URI:	http://eprints.bice.rm.cnr.it/id/eprint/20995

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