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[Variants of Botkin's biliary-cardiac syndrome in acute cholecystitis]

B K Panfilov, V I Maliarchuk, N V Stepanov

    Khirurgiia
    |November 7, 2002
    PubMed

    Insights

    Four rare syndromes associated with acute cholecystitis, including cholecystic-pericardial and syncopal-cardiac syndromes, resolve after biliary surgery. These findings suggest these syndromes indicate surgical intervention for cholecystitis.

    Area of Science:

    • Gastroenterology
    • Cardiology
    • Syndromology

    Context:

    • Acute cholecystitis is a common surgical emergency.
    • Rare syndromes can complicate the presentation of acute cholecystitis.
    • Botkin's biliary-cardiac syndrome encompasses several related conditions.

    Purpose:

    • To describe four cases of rare syndromes associated with acute cholecystitis.
    • To highlight the relationship between cholecystic-pericardial and syncopal-cardiac syndromes and Botkin's biliary-cardiac syndrome.
    • To establish the diagnostic and therapeutic implications of these syndromes.

    Summary:

    • Four cases involving cholecystic-pericardial and syncopal-cardiac syndromes in patients with acute cholecystitis are presented.
    • These syndromes, variants of Botkin's biliary-cardiac syndrome, occurred in 1.33% and 1.78% of acute cholecystitis cases, respectively.
    • Resolution of these cardiac and pericardial symptoms following biliary tract surgery was observed in all cases.

    Impact:

    • The resolution of these syndromes post-surgery suggests they are indicators for surgical treatment of acute cholecystitis.
    • Early surgical intervention for acute cholecystitis may prevent or resolve associated cardiac and pericardial manifestations.
    • Recognition of these rare syndromes can improve patient outcomes and guide clinical management decisions.

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