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A right atrial myxoma presenting with misleading features of acalculous cholecystitis

Diffuse thickening, a layered appearance of the gallbladder wall and the accumulation of surrounding fluid are considered as sensitive and relatively specific imaging findings of gallbladder inflammation. In the absence of gallstones, the diagnosis of acalculous cholecystitis can be further supporte...

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Autores principales: Lempesis, Ioannis G, Naxaki, Anna, Koukoufiki, Eirini, Karagkouni, Ioanna, Tzanatou, Amalia, Tourtidou, Calliroe, Avgerinos, Peter C
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Oxford University Press 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7048078/
https://www.ncbi.nlm.nih.gov/pubmed/32128222
http://dx.doi.org/10.1093/omcr/omaa012
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author Lempesis, Ioannis G
Naxaki, Anna
Koukoufiki, Eirini
Karagkouni, Ioanna
Tzanatou, Amalia
Tourtidou, Calliroe
Avgerinos, Peter C
author_facet Lempesis, Ioannis G
Naxaki, Anna
Koukoufiki, Eirini
Karagkouni, Ioanna
Tzanatou, Amalia
Tourtidou, Calliroe
Avgerinos, Peter C
author_sort Lempesis, Ioannis G
collection PubMed
description Diffuse thickening, a layered appearance of the gallbladder wall and the accumulation of surrounding fluid are considered as sensitive and relatively specific imaging findings of gallbladder inflammation. In the absence of gallstones, the diagnosis of acalculous cholecystitis can be further supported by the presence of fever, epigastric pain, right upper abdominal quadrant (RUQ) tenderness on inspiration and elevated markers of inflammation. In this report, we describe a 35-year-old schoolteacher who presented with all of the above clinical, laboratory and imaging findings that were eventually attributed to gallbladder oedema and liver congestion (abdominal imaging and RUQ tenderness) caused by an atrial myxoma interfering, with the atrioventricular circulation of the right heart and causing constitutional manifestations (fever and elevated markers of inflammation).
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spelling pubmed-70480782020-03-03 A right atrial myxoma presenting with misleading features of acalculous cholecystitis Lempesis, Ioannis G Naxaki, Anna Koukoufiki, Eirini Karagkouni, Ioanna Tzanatou, Amalia Tourtidou, Calliroe Avgerinos, Peter C Oxf Med Case Reports Case Report Diffuse thickening, a layered appearance of the gallbladder wall and the accumulation of surrounding fluid are considered as sensitive and relatively specific imaging findings of gallbladder inflammation. In the absence of gallstones, the diagnosis of acalculous cholecystitis can be further supported by the presence of fever, epigastric pain, right upper abdominal quadrant (RUQ) tenderness on inspiration and elevated markers of inflammation. In this report, we describe a 35-year-old schoolteacher who presented with all of the above clinical, laboratory and imaging findings that were eventually attributed to gallbladder oedema and liver congestion (abdominal imaging and RUQ tenderness) caused by an atrial myxoma interfering, with the atrioventricular circulation of the right heart and causing constitutional manifestations (fever and elevated markers of inflammation). Oxford University Press 2020-02-28 /pmc/articles/PMC7048078/ /pubmed/32128222 http://dx.doi.org/10.1093/omcr/omaa012 Text en © The Author(s) 2020. Published by Oxford University Press. http://creativecommons.org/licenses/by-nc/4.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/), which permits non-commercial re-use, distribution, and reproduction in any medium, provided the original work is properly cited. For commercial re-use, please contact journals.permissions@oup.com
spellingShingle Case Report
Lempesis, Ioannis G
Naxaki, Anna
Koukoufiki, Eirini
Karagkouni, Ioanna
Tzanatou, Amalia
Tourtidou, Calliroe
Avgerinos, Peter C
A right atrial myxoma presenting with misleading features of acalculous cholecystitis
title A right atrial myxoma presenting with misleading features of acalculous cholecystitis
title_full A right atrial myxoma presenting with misleading features of acalculous cholecystitis
title_fullStr A right atrial myxoma presenting with misleading features of acalculous cholecystitis
title_full_unstemmed A right atrial myxoma presenting with misleading features of acalculous cholecystitis
title_short A right atrial myxoma presenting with misleading features of acalculous cholecystitis
title_sort right atrial myxoma presenting with misleading features of acalculous cholecystitis
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7048078/
https://www.ncbi.nlm.nih.gov/pubmed/32128222
http://dx.doi.org/10.1093/omcr/omaa012
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