A79-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.
A case of persistent hiccup after laparoscopic cholecystectomy / Grifoni E;Marchiani C;Fabbri A;Ciuti G;Pavellini A;Mancuso F;Viligiardi R;Moggi Pignone A. - In: CASE REPORTS IN SURGERY. - ISSN 2090-6900. - STAMPA. - 2013:(2013), pp. 1-4. [10.1155/2013/206768]
A case of persistent hiccup after laparoscopic cholecystectomy.
GRIFONI, ELISA;MOGGI PIGNONE, ALBERTO
2013
Abstract
A79-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.I documenti in FLORE sono protetti da copyright e tutti i diritti sono riservati, salvo diversa indicazione.