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[Acute retrosternal pain].

H Meyer-Lehnert, C Schmidt, J Kipnowski

    Schweizerische Rundschau Fur Medizin Praxis = Revue Suisse De Medecine Praxis
    |February 28, 1989
    PubMed
    Summary
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    A patient with a history of heart attack developed acute cholecystitis, a gallbladder inflammation. Prompt antibiotic treatment led to recovery, followed by successful gallbladder removal surgery.

    Area of Science:

    • Gastroenterology
    • Cardiology

    Background:

    • A 52-year-old male with a history of myocardial infarction and cholecystolithiasis presented with retrosternal pain.
    • Initial symptoms were unresponsive to nitroglycerin, raising concerns for cardiac events.

    Observation:

    • The patient subsequently developed acute cholecystitis, characterized by right upper quadrant abdominal pain, rebound tenderness, fever, and leukocytosis.
    • Abdominal sonography confirmed the diagnosis of acute cholecystitis.

    Findings:

    • The patient's acute illness resolved rapidly with antibiotic therapy.
    • A cholecystectomy performed four weeks post-discharge revealed empyema of the gallbladder with cholecystolithiasis.

    Implications:

    • This case highlights the importance of considering gallbladder pathology in patients with atypical chest pain, especially those with cardiac history.

    Related Experiment Videos

  • Early diagnosis and management of acute cholecystitis are crucial for favorable outcomes, even in patients with comorbidities.