A Case of Persistent Hiccup after Laparoscopic Cholecystectomy
Author(s) -
Elisa Grifoni,
Costanza Marchiani,
Alessia Fabbri,
Gabriele Ciuti,
Andrea Pavellini,
Francesco M. Mancuso,
Riccardo Viligiardi,
Alberto Moggi Pig
Publication year - 2013
Publication title -
case reports in surgery
Language(s) - English
Resource type - Journals
eISSN - 2090-6900
pISSN - 2090-6919
DOI - 10.1155/2013/206768
Subject(s) - medicine , gallstones , complication , surgery , lesion , dysphagia , gallbladder , laparoscopic cholecystectomy , cholecystectomy , percutaneous , radiology
A 79-year-old man, with history of recent laparoscopic cholecystectomy, came to our attention for persistent hiccup, dysphonia, and dysphagia. Noninvasive imaging studies showed a nodular lesion in the right hepatic lobe with transdiaphragmatic infiltration and increased tracer uptake on positron emission tomography. Suspecting a malignant lesion and given the difficulty of performing a percutaneous transthoracic biopsy, the patient underwent surgery. Histological analysis of surgical specimen showed biliary gallstones surrounded by exudative inflammation, resulting from gallbladder rupture and gallstones spillage as a complication of the previous surgical intervention. This case highlights the importance of considering such rare complication after laparoscopic cholecystectomy.
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