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Case report: chronic acalculous cholecystitis preceded by Coxsackievirus B4 infection

A 41-year-old female presented with an 8-month history of right upper quadrant pain, exacerbated by ingestion of saturated fats. The patient was positive for antibodies to Coxsackievirus serotype B4, established by an investigation incited by an acute episode of pleurodynia 8 months before the curre...

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Autores principales: Fewel, Connor E, Weiss, Joshua R, Harrington, Jane C
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Oxford University Press 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8923371/
https://www.ncbi.nlm.nih.gov/pubmed/35300287
http://dx.doi.org/10.1093/jscr/rjac074
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author Fewel, Connor E
Weiss, Joshua R
Harrington, Jane C
author_facet Fewel, Connor E
Weiss, Joshua R
Harrington, Jane C
author_sort Fewel, Connor E
collection PubMed
description A 41-year-old female presented with an 8-month history of right upper quadrant pain, exacerbated by ingestion of saturated fats. The patient was positive for antibodies to Coxsackievirus serotype B4, established by an investigation incited by an acute episode of pleurodynia 8 months before the current presentation. Imaging studies including a hepatobiliary iminodiacetic acid scan showed no gallbladder structural or functional abnormalities. Laboratory studies indicated pancreatic enzyme insufficiency associated with below-normal lipase and amylase levels. Patient symptomology was consistent with cholecystitis with positive Murphy’s sign, so cholecystectomy was recommended. Post-surgery pathological report confirmed chronic acalculous cholecystitis. Patient demonstrated full recovery, indicated by return of normal pancreatic enzymes levels and resolution of abdominal pain.
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spelling pubmed-89233712022-03-16 Case report: chronic acalculous cholecystitis preceded by Coxsackievirus B4 infection Fewel, Connor E Weiss, Joshua R Harrington, Jane C J Surg Case Rep Case Report A 41-year-old female presented with an 8-month history of right upper quadrant pain, exacerbated by ingestion of saturated fats. The patient was positive for antibodies to Coxsackievirus serotype B4, established by an investigation incited by an acute episode of pleurodynia 8 months before the current presentation. Imaging studies including a hepatobiliary iminodiacetic acid scan showed no gallbladder structural or functional abnormalities. Laboratory studies indicated pancreatic enzyme insufficiency associated with below-normal lipase and amylase levels. Patient symptomology was consistent with cholecystitis with positive Murphy’s sign, so cholecystectomy was recommended. Post-surgery pathological report confirmed chronic acalculous cholecystitis. Patient demonstrated full recovery, indicated by return of normal pancreatic enzymes levels and resolution of abdominal pain. Oxford University Press 2022-03-15 /pmc/articles/PMC8923371/ /pubmed/35300287 http://dx.doi.org/10.1093/jscr/rjac074 Text en Published by Oxford University Press and JSCR Publishing Ltd. © The Author(s) 2022. 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
Fewel, Connor E
Weiss, Joshua R
Harrington, Jane C
Case report: chronic acalculous cholecystitis preceded by Coxsackievirus B4 infection
title Case report: chronic acalculous cholecystitis preceded by Coxsackievirus B4 infection
title_full Case report: chronic acalculous cholecystitis preceded by Coxsackievirus B4 infection
title_fullStr Case report: chronic acalculous cholecystitis preceded by Coxsackievirus B4 infection
title_full_unstemmed Case report: chronic acalculous cholecystitis preceded by Coxsackievirus B4 infection
title_short Case report: chronic acalculous cholecystitis preceded by Coxsackievirus B4 infection
title_sort case report: chronic acalculous cholecystitis preceded by coxsackievirus b4 infection
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8923371/
https://www.ncbi.nlm.nih.gov/pubmed/35300287
http://dx.doi.org/10.1093/jscr/rjac074
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