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Mirizzi syndrome: when the gallbladder meets bile ducts
Rita Seara Costa1, Filipa Vieira2, Juliana M Costa3
1Department of Gastroenterology, Hospital of Braga, Portugal.
Revista Espanola De Enfermedades Digestivas
|June 6, 2019
Summary
A 64-year-old female experienced jaundice, dark urine, fever, and abdominal pain. Emergency department evaluation revealed tenderness and epigastric pain upon palpation.
Area of Science:
- Gastroenterology
- Internal Medicine
Background:
- The case presents a 64-year-old female with acute onset of jaundice, choluria, fever, and abdominal pain, suggestive of a hepatobiliary or pancreatic pathology.
Observation:
- The patient exhibited significant abdominal tenderness, particularly in the epigastric region, upon physical examination.
- Clinical presentation includes jaundice and choluria, indicating potential biliary obstruction or liver dysfunction.
Findings:
- The constellation of symptoms points towards an acute hepatobiliary or pancreatic event requiring urgent investigation.
- Further diagnostic workup is essential to determine the underlying cause of the patient's symptoms.
Implications:
- Prompt diagnosis and management are crucial for improving patient outcomes in cases of acute abdominal pain with jaundice.
- This case highlights the importance of thorough clinical evaluation in the emergency department for complex presentations.
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