Abstract
Abstract
Background
Gallbladder 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 presentation
A 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.
Conclusions
This case suggests the importance of preoperative review of medication history and patient education on prescription drug abuse.
Funder
National Natural Science Foundation of China
Key Programme
Natural Science Foundation of Zhejiang Province
Publisher
Springer Science and Business Media LLC
Subject
Gastroenterology,General Medicine
Cited by
9 articles.
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