Acalculous Cholecystitis Presenting as Intractable Hypere-mesis during Pregnancy: A Case Report
نویسندگان
1 Professor, Department of Obstetrics and Gynecology, Faculty of medicine, Mashhad University of Medical Sciences, Mashhad, Iran
2 Assistant Professor, Department of Obstetrics and Gynecology, Faculty of medicine, Mashhad University of Medical Sciences, Mashhad, Iran
3 Assistant Professor, Department of Obstetrics and Gynecology, Faculty of medicine, Mashhad University of Medical Sciences, Mashhad, Iran
4 Resident of Obstetrics and Gynecology, Faculty of medicine, Mashhad University of Medical Sciences, Mashhad, Iran
doi
10.22038/jmrh.2017.8773چکیده
Background & aim: Nausea and vomiting manifest in more than 50% of pregnancies; in case of severe nausea and vomiting during pregnancy, or hyperemesis gravidarum, other diagnoses should be considered. Case report: This case report details a 34-year-old pregnant woman with diabetes whose primary symptom was nausea and vomiting; she presented with mild abdominal pain without abdominal tenderness. After hospital admission, she was treated as a case of hyperemesis. Sonography revealed acalculous cholecystitis, necessitating laparoscopic cholecystectomy that led to resolution of her condition. Conclusion: As hyperemesis is a diagnosis always arrived at by ruling out other possibilities, a complete physical examination should be performed and other patient symptoms must be considered in pregnant women with this disorder.
