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患有Glanzmann血小板无力症的出血性胆囊炎患者。

Hemorrhagic cholecystitis afflicted with glanzmann thrombasthenia patient.

作者信息

AlMoshary May

机构信息

Department of Basic Science College of Medicine, Princess Nourah bint Abdulrahman University, Riyadh, Saudi Arabia.

出版信息

J Family Med Prim Care. 2024 Nov;13(11):5395-5398. doi: 10.4103/jfmpc.jfmpc_858_24. Epub 2024 Nov 18.

Abstract

Hemorrhagic cholecystitis is a rare and potentially life-threatening condition that requires immediate medical attention. If the gallbladder perforates, it can lead to even more severe complications. We present the case of a 27-year-old man with Glanzmann's thrombasthenia, a rare platelets disorder, who visited the emergency department twice before being diagnosed with this condition. Initially, he complained of ear pain, and later, chest pain. Despite a normal ECG and cardiac markers, he was discharged with non-steroidal anti-inflammatory drugs (NSAIDs) for musculoskeletal pain. However, when he returned with abdominal pain, nausea, and vomiting, an ultrasound revealed signs of cholecystitis. An emergency laparoscopic cholecystectomy was performed, which revealed hemorrhagic cholecystitis.

摘要

出血性胆囊炎是一种罕见且可能危及生命的疾病,需要立即就医。如果胆囊穿孔,可能会导致更严重的并发症。我们报告一例患有Glanzmann血小板无力症(一种罕见的血小板疾病)的27岁男性病例,该患者在被诊断出此病之前曾两次前往急诊科就诊。起初,他抱怨耳部疼痛,后来又出现胸痛。尽管心电图和心脏标志物正常,但他还是因肌肉骨骼疼痛而被开了非甾体抗炎药(NSAIDs)后出院。然而,当他因腹痛、恶心和呕吐再次就诊时,超声检查显示出胆囊炎的迹象。随后进行了急诊腹腔镜胆囊切除术,结果显示为出血性胆囊炎。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c11e/11668374/642fab84e483/JFMPC-13-5395-g001.jpg

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