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Late dumping syndrome preceded by Coxsackievirus B4 infection and cholecystectomy
A 44-year-old female patient presented with weight loss, diarrhea and intermittent episodes of left upper quadrant (LUQ) pain lasting for 3 years, accompanied by acute episodes of focal LUQ pain, dizziness, tachycardia, borborygmi and bloating, occurring approximately 60 min after meals. The patient...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Oxford University Press
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10131098/ https://www.ncbi.nlm.nih.gov/pubmed/37124576 http://dx.doi.org/10.1093/jscr/rjad205 |
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author | Weiss, Joshua Fewel, Connor Akinrinade, Oyediran Harrington, Jane |
author_facet | Weiss, Joshua Fewel, Connor Akinrinade, Oyediran Harrington, Jane |
author_sort | Weiss, Joshua |
collection | PubMed |
description | A 44-year-old female patient presented with weight loss, diarrhea and intermittent episodes of left upper quadrant (LUQ) pain lasting for 3 years, accompanied by acute episodes of focal LUQ pain, dizziness, tachycardia, borborygmi and bloating, occurring approximately 60 min after meals. The patient developed chronic acalculous cholecystitis and transient exocrine pancreatic insufficiency after infection with Coxsackievirus B4 (CVB4), which resolved following laparoscopic cholecystectomy 2 years before the current presentation. Although imaging and functional investigation studies were unremarkable, a gastric transit study revealed rapid clearance of radiolabeled food, and the patient’s symptomatology and gastrointestinal studies supported the diagnosis of late dumping syndrome. The patient’s symptoms significantly improved with adherence to recommended dietary changes, including an increase in protein intake, abstinence from simple carbohydrates and avoidance of simultaneous consumption of beverages with food, following consultation with a dietitian. |
format | Online Article Text |
id | pubmed-10131098 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | Oxford University Press |
record_format | MEDLINE/PubMed |
spelling | pubmed-101310982023-04-27 Late dumping syndrome preceded by Coxsackievirus B4 infection and cholecystectomy Weiss, Joshua Fewel, Connor Akinrinade, Oyediran Harrington, Jane J Surg Case Rep Case Report A 44-year-old female patient presented with weight loss, diarrhea and intermittent episodes of left upper quadrant (LUQ) pain lasting for 3 years, accompanied by acute episodes of focal LUQ pain, dizziness, tachycardia, borborygmi and bloating, occurring approximately 60 min after meals. The patient developed chronic acalculous cholecystitis and transient exocrine pancreatic insufficiency after infection with Coxsackievirus B4 (CVB4), which resolved following laparoscopic cholecystectomy 2 years before the current presentation. Although imaging and functional investigation studies were unremarkable, a gastric transit study revealed rapid clearance of radiolabeled food, and the patient’s symptomatology and gastrointestinal studies supported the diagnosis of late dumping syndrome. The patient’s symptoms significantly improved with adherence to recommended dietary changes, including an increase in protein intake, abstinence from simple carbohydrates and avoidance of simultaneous consumption of beverages with food, following consultation with a dietitian. Oxford University Press 2023-04-25 /pmc/articles/PMC10131098/ /pubmed/37124576 http://dx.doi.org/10.1093/jscr/rjad205 Text en Published by Oxford University Press and JSCR Publishing Ltd. © The Author(s)2023. https://creativecommons.org/licenses/by/4.0/This is an Open Access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted reuse, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Case Report Weiss, Joshua Fewel, Connor Akinrinade, Oyediran Harrington, Jane Late dumping syndrome preceded by Coxsackievirus B4 infection and cholecystectomy |
title | Late dumping syndrome preceded by Coxsackievirus B4 infection and cholecystectomy |
title_full | Late dumping syndrome preceded by Coxsackievirus B4 infection and cholecystectomy |
title_fullStr | Late dumping syndrome preceded by Coxsackievirus B4 infection and cholecystectomy |
title_full_unstemmed | Late dumping syndrome preceded by Coxsackievirus B4 infection and cholecystectomy |
title_short | Late dumping syndrome preceded by Coxsackievirus B4 infection and cholecystectomy |
title_sort | late dumping syndrome preceded by coxsackievirus b4 infection and cholecystectomy |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10131098/ https://www.ncbi.nlm.nih.gov/pubmed/37124576 http://dx.doi.org/10.1093/jscr/rjad205 |
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