Presentation of a Rare Case of Acute Cholecystitis in the Last Trimester of Pregnancy Misdiagnosed As Acute Gastroenteritis: A Brief Review From Symptoms to Diagnosis and Effective Management of the Disease in Pregnant Women.

Autor:	Thanasa A; Department of Health Sciences, Medical School, Aristotle University of Thessaloniki, Thessaloniki, GRC., Thanasa E; Department of Health Sciences, Medical School, Aristotle University of Thessaloniki, Thessaloniki, GRC., Antoniou IR; Department of Obstetrics and Gynecology, General Hospital of Trikala, Trikala, GRC., Gerokostas EE; Department of Obstetrics and Gynecology, General Hospital of Trikala, Trikala, GRC., Leroutsos A; Department of Obstetrics and Gynecology, General Hospital of Trikala, Trikala, GRC., Papadoulis V; Department of Anaesthesiology, General Hospital of Trikala, Trikala, GRC., Xydias EM; Department of Obstetrics and Gynecology, EmbryoClinic IVF, Thessaloniki, GRC., Ziogas AC; Department of Obstetrics and Gynecology, University of Thessaly, Larissa, GRC., Thanasas I; Department of Obstetrics and Gynecology, General Hospital of Trikala, Trikala, GRC.
Jazyk:	angličtina
Zdroj:	Cureus [Cureus] 2024 Aug 09; Vol. 16 (8), pp. e66524. Date of Electronic Publication: 2024 Aug 09 (Print Publication: 2024).
DOI:	10.7759/cureus.66524
Abstrakt:	This case presentation involves a 31-year-old pregnant woman (gravida 2, para 1) in her 33rd week of pregnancy, who presented to the Emergency Department of General Hospital of Trikala, in Greece, complaining of 24-hour abdominal pain, vomiting, and diarrheal stools. With a possible initial diagnosis of acute gastroenteritis, it was decided to admit the pregnant woman to the Obstetrics and Gynecology Department. Abdominal ultrasound revealed thickening of the gallbladder wall without the presence of gallstones or distension of the intrahepatic and extrahepatic bile ducts. Clinical examination by a surgical team, combined with ultrasound and laboratory findings, established the diagnosis of acute cholecystitis. After successful conservative antibiotic treatment, the patient was discharged from the department on the fifth day of hospitalization. She underwent laparoscopic cholecystectomy during the puerperal period. In this paper, after describing a case of acute cholecystitis in pregnancy, we highlight the significant diagnostic difficulties and therapeutic dilemmas regarding the management of these patients, including their reluctance to use invasive diagnostic methods and their concerns about the teratogenicity of administered drugs. Competing Interests: Human subjects: Consent was obtained or waived by all participants in this study. Conflicts of interest: In compliance with the ICMJE uniform disclosure form, all authors declare the following: Payment/services info: All authors have declared that no financial support was received from any organization for the submitted work. Financial relationships: All authors have declared that they have no financial relationships at present or within the previous three years with any organizations that might have an interest in the submitted work. Other relationships: All authors have declared that there are no other relationships or activities that could appear to have influenced the submitted work. (Copyright © 2024, Thanasa et al.)
Databáze:	MEDLINE
Externí odkaz:	Zobrazit plný text záznamu