| Torsion of the gallbladder in pregnancy. A case report. | |
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MedLine Citation:
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PMID: 12698782 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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BACKGROUND: Gallbladder torsion is rarely diagnosed in pregnancy, but prompt surgical intervention is necessary to avoid possible sepsis and death. CASE: A 28-year-old, African American woman at 30(6/7) weeks' gestation was admitted with the presumed diagnosis of acute cholecystitis. The patient was treated conservatively. However, on re-examination, the patient's physical examination and laboratory values worsened. She underwent an exploratory laparotomy, which revealed a twisted gallbladder. A cholecystectomy was performed after untwisting of the gallbladder. Postoperatively the patient did well and subsequently delivered a healthy infant at 38(2/7) weeks' gestation. CONCLUSION: Surgical evaluation of an acute abdomen in pregnancy should not be delayed. For a presumed diagnosis of acute cholecystitis that does not improve after conservative measures are taken, gallbladder torsion should be added to the differential diagnosis. |
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Authors:
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Kimberly Kleiss; Leslie Choy-Hee; Robin Fogle; Michael Lindsay |
Publication Detail:
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Type: Case Reports; Journal Article |
Journal Detail:
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Title: The Journal of reproductive medicine Volume: 48 ISSN: 0024-7758 ISO Abbreviation: J Reprod Med Publication Date: 2003 Mar |
Date Detail:
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Created Date: 2003-04-17 Completed Date: 2003-07-02 Revised Date: 2007-11-15 |
Medline Journal Info:
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Nlm Unique ID: 0173343 Medline TA: J Reprod Med Country: United States |
Other Details:
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Languages: eng Pagination: 206-8 Citation Subset: IM |
Affiliation:
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Department of Gynecology and Obstetrics, Emory University School of Medicine, 69 Jesse Hill Jr. Drive, Suite 408, Atlanta, GA 30303, USA. kkleiss@emory.edu |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adult Cholecystectomy* Female Gallbladder Diseases / pathology, surgery* Humans Pregnancy Pregnancy Complications / pathology, surgery* Pregnancy Outcome Torsion Abnormality / pathology, surgery |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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