Shapiro T, Rennie W
Long Island Jewish Medical Center, New Hyde Park, NY, USA.
Ann Emerg Med. 1999 May;33(5):584-7. doi: 10.1016/s0196-0644(99)70348-3.
A 42-year-old man presented with acute right upper quadrant abdominal pain 2 years after open cholecystectomy. Evaluation revealed cholecystitis in a second gallbladder and a second cholecystectomy was performed. Acute right upper quadrant abdominal pain after cholecystectomy presents a wide differential diagnosis, including the often idiopathic and difficult to manage postcholecystectomy syndrome. Emergency physicians should be aware of the most common causes of pain in these patients. Previously unrecognized congenital abnormalities of the biliary system should be considered when the diagnosis is not clear, as highlighted by this case report.
一名42岁男性在开腹胆囊切除术后2年出现急性右上腹腹痛。评估发现存在第二个胆囊的胆囊炎，并进行了第二次胆囊切除术。胆囊切除术后的急性右上腹腹痛有多种鉴别诊断，包括通常病因不明且难以处理的胆囊切除术后综合征。急诊医生应了解这些患者疼痛的最常见原因。如本病例报告所强调的，当诊断不明确时，应考虑先前未被识别的先天性胆道系统异常。
