David Geffen School of Medicine, University of California Los Angeles, Los Angeles, California, USA.
Emergency Medicine, VA Greater Los Angeles Healthcare System, Los Angeles, California, USA.
BMJ Case Rep. 2020 Dec 13;13(12):e238456. doi: 10.1136/bcr-2020-238456.
A young, healthy woman presented to the emergency department multiple times with right upper quadrant pain and subjective fevers for over a year after her laparoscopic cholecystectomy. The patient required multiple hospital visits and extensive work-ups before finally being diagnosed with retained gallstones in her abdomen. After surgical removal of the stones, her symptoms resolved completely. The case highlights the challenges in diagnosing retained gallstones, the substantial burdens they can impose on patients, and the importance of prevention and thorough documentation.
一位年轻、健康的女性在腹腔镜胆囊切除术后一年多,多次因右上腹疼痛和自觉发热到急诊科就诊。该患者在最终被诊断为腹部残留胆囊结石之前,经历了多次住院和广泛的检查。在手术切除结石后,她的症状完全缓解。该病例突出了诊断残留胆囊结石的挑战,强调了它们给患者带来的巨大负担,以及预防和详细记录的重要性。