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Cholelithiasis Presented as Chronic Right Back Pain
Chronic right back pain is a symptom in both biliary lithiasis and chronic cholecystitis. Ten percent of the population in the world suffers from biliary lithiasis. Only 20% are symptomatic. The first diagnostic test of choice is an abdominal ultrasound. When a suggestive clinical sign of biliary co...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Medknow Publications & Media Pvt Ltd
2014
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4311366/ https://www.ncbi.nlm.nih.gov/pubmed/25657967 http://dx.doi.org/10.4103/2249-4863.148150 |
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author | Bobé-Armant, Francesc Buil-Arasanz, Maria Eugenia Trubat-Muñoz, Griselda Llor-Vilà, Carles Vicente-Guillen, Vicente |
author_facet | Bobé-Armant, Francesc Buil-Arasanz, Maria Eugenia Trubat-Muñoz, Griselda Llor-Vilà, Carles Vicente-Guillen, Vicente |
author_sort | Bobé-Armant, Francesc |
collection | PubMed |
description | Chronic right back pain is a symptom in both biliary lithiasis and chronic cholecystitis. Ten percent of the population in the world suffers from biliary lithiasis. Only 20% are symptomatic. The first diagnostic test of choice is an abdominal ultrasound. When a suggestive clinical sign of biliary colic with negative abdominal ultrasound is identified, we should consider the option of carrying out an endoscopic ultrasound in order to rule out microlithiasis. The case discussed in the report presented with chronic right back pain, which is an atypical manifestation of biliary lithiasis and chronic cholecystitis. It is important to know about the atypical manifestations of the prevalent illnesses as well as the limits of the diagnostic tests, in order to avoid diagnostic delays which may cause complications that could worsen a patient's prognosis. This case should contribute to the medical knowledge and must have educational value or highlight the need for a change in clinical practice, especially in primary care. |
format | Online Article Text |
id | pubmed-4311366 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2014 |
publisher | Medknow Publications & Media Pvt Ltd |
record_format | MEDLINE/PubMed |
spelling | pubmed-43113662015-02-05 Cholelithiasis Presented as Chronic Right Back Pain Bobé-Armant, Francesc Buil-Arasanz, Maria Eugenia Trubat-Muñoz, Griselda Llor-Vilà, Carles Vicente-Guillen, Vicente J Family Med Prim Care Case Report Chronic right back pain is a symptom in both biliary lithiasis and chronic cholecystitis. Ten percent of the population in the world suffers from biliary lithiasis. Only 20% are symptomatic. The first diagnostic test of choice is an abdominal ultrasound. When a suggestive clinical sign of biliary colic with negative abdominal ultrasound is identified, we should consider the option of carrying out an endoscopic ultrasound in order to rule out microlithiasis. The case discussed in the report presented with chronic right back pain, which is an atypical manifestation of biliary lithiasis and chronic cholecystitis. It is important to know about the atypical manifestations of the prevalent illnesses as well as the limits of the diagnostic tests, in order to avoid diagnostic delays which may cause complications that could worsen a patient's prognosis. This case should contribute to the medical knowledge and must have educational value or highlight the need for a change in clinical practice, especially in primary care. Medknow Publications & Media Pvt Ltd 2014 /pmc/articles/PMC4311366/ /pubmed/25657967 http://dx.doi.org/10.4103/2249-4863.148150 Text en Copyright: © Journal of Family Medicine and Primary Care http://creativecommons.org/licenses/by-nc-sa/3.0 This is an open-access article distributed under the terms of the Creative Commons Attribution-Noncommercial-Share Alike 3.0 Unported, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Case Report Bobé-Armant, Francesc Buil-Arasanz, Maria Eugenia Trubat-Muñoz, Griselda Llor-Vilà, Carles Vicente-Guillen, Vicente Cholelithiasis Presented as Chronic Right Back Pain |
title | Cholelithiasis Presented as Chronic Right Back Pain |
title_full | Cholelithiasis Presented as Chronic Right Back Pain |
title_fullStr | Cholelithiasis Presented as Chronic Right Back Pain |
title_full_unstemmed | Cholelithiasis Presented as Chronic Right Back Pain |
title_short | Cholelithiasis Presented as Chronic Right Back Pain |
title_sort | cholelithiasis presented as chronic right back pain |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4311366/ https://www.ncbi.nlm.nih.gov/pubmed/25657967 http://dx.doi.org/10.4103/2249-4863.148150 |
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