| Cholecystitis during pregnancy. A case report and brief review of the literature. | |
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MedLine Citation:
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PMID: 18225691 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Cholecystitis is an inflammation of the gallbladder caused by obstruction of the cystic duct. A gallstone usually causes the obstruction (calculus cholecystitis). However, in some cases the obstruction may be acalculous or caused by sludge. The clinical course of biliary sludge varies, from complete resolution to gallbladder obstruction. This obstruction can result in gallbladder distension and acute cholecystitis. When inflammation occurs it could either be aseptic or bacterial. Biliary disease during pregnancy is relatively rare and occurs mainly during the last trimester. Whether women who are pregnant or have multiple pregnancies are more likely to develop stones or whether they are simply more symptomatic with stones is unknown. We present a 33-year-old obese pregnant woman with fever, moderately elevated bile acids, and leukocytosis in the 28th week of pregnancy. Since need for surgery in these cases is controversial, the patient has been treated conservatively. In our case cholecystitis responded very well to treatment with amoxicillin, with no detrimental effects for mother and child. A healthy child was born at term. In the differential diagnosis of liver function abnormalities during pregnancy, cholelithiasis should be included. |
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Authors:
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C Chloptsios; V Karanasiou; G Ilias; N Kavouras; K Stamatiou; F Lebren |
Publication Detail:
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Type: Case Reports; Journal Article; Review |
Journal Detail:
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Title: Clinical and experimental obstetrics & gynecology Volume: 34 ISSN: 0390-6663 ISO Abbreviation: Clin Exp Obstet Gynecol Publication Date: 2007 |
Date Detail:
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Created Date: 2008-01-29 Completed Date: 2008-02-26 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 7802110 Medline TA: Clin Exp Obstet Gynecol Country: Italy |
Other Details:
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Languages: eng Pagination: 250-1 Citation Subset: IM |
Affiliation:
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Surgery Department, General Hospital of Thebes, Greece. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Adult Amoxicillin / therapeutic use Anti-Bacterial Agents / therapeutic use Cholagogues and Choleretics / therapeutic use Cholecystitis, Acute / complications*, drug therapy Female Humans Pregnancy Pregnancy Complications* Pregnancy Outcome Pregnancy Trimester, Second* Ursodeoxycholic Acid / therapeutic use |
| Chemical | |
Reg. No./Substance:
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0/Anti-Bacterial Agents; 0/Cholagogues and Choleretics; 128-13-2/Ursodeoxycholic Acid; 26787-78-0/Amoxicillin |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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