Hemorrhagic cholecystitis with rare imaging presentation: a case report and a lesson learned from neglected medication history of NSAIDs
Hemorrhagic cholecystitis with rare imaging presentation: a case report and a lesson learned from neglected medication history of NSAIDs
复制标题
影像学表现罕见的出血性胆囊炎：病例报告和被忽视的非甾体抗炎药用药史的教训
DOI：
10.1186/s12876-020-01312-0
复制
发表时间：
2020-06-05
影响因子：
2.4
通讯作者：
Hu, Qida
中科院分区：
文献类型：
--
作者：
Zhang, Xin;Zhang, Chunjun;Hu, Qida
胆囊癌常发生于慢性胆囊炎患者，需要根治性切除。我们在此描述一个出血性胆囊炎的情况下，未能区分胆囊癌术前由于长期口服非甾体抗炎药（NSIADs）intake.Case presentationA被忽视的用药史57岁的中国女性被承认为右上腹疼痛与胆囊炎的初步诊断。放射学检查无法排除疑似胆囊癌的鉴别诊断。在预定的根治性切除可疑病变，大体解剖显示了一个有趣的介绍出血性胆囊炎，没有任何病理证据的恶性肿瘤。额外的术后调查显示，长期NSAIDs use.ConclusionsThis情况下，被忽视的用药史表明，处方药滥用的用药史和患者教育的术前审查的重要性。
BackgroundGallbladder carcinogenesis, frequently occurredin chronic cholecystitis patients, requires radical resection. We herein describe a hemorrhagic cholecystitis case that failed to be differentiated from gallbladder cancer preoperatively owing to the neglected medication history of long term oral nonsteroidal anti-inflammatory drugs (NSIADs) intake.Case presentationA 57-year-old Chinese female was admitted for right upper quadrant pain with the initial diagnosis of cholecystitis. Radiological studies were unable to exclude the differential diagnosis of suspected gallbladder cancer. During the scheduled radical resection of the suspected lesions, the gross dissection showed an interesting presentation of hemorrhagic cholecystitis, without any pathological evidence of malignancies. Additional postoperative investigation revealed a neglected medication history of long-term NSAIDs use.ConclusionsThis case suggests the importance of preoperative review of medication history and patient education on prescription drug abuse.