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Intrathoracic Acute Cholecystitis.

Giovana Ennis1, Gabriela Venade1, Joana Silva Marques1

  • 1Department of Internal Medicine, Hospital CUF Viseu, Portugal.

European Journal of Case Reports in Internal Medicine
|September 10, 2020
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Summary
This summary is machine-generated.

A rare case of intrathoracic acute cholecystitis, caused by a diaphragmatic hernia, highlights diagnostic challenges. Symptoms were atypical, making early identification difficult due to the gallbladder's unusual location.

Keywords:
Intrathoracic acute cholecystitisdiaphragmatic hernianon-traumatic

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Area of Science:

  • Gastroenterology
  • Surgical Case Reports

Background:

  • Intrathoracic gallbladder is an extremely rare condition.
  • Diaphragmatic hernias can lead to unusual presentations of abdominal pathology.

Purpose of the Study:

  • To report a unique case of acute cholecystitis occurring within the thorax.
  • To emphasize the diagnostic difficulties associated with intrathoracic gallbladder pathology.

Main Methods:

  • Case presentation of a 51-year-old woman with atypical symptoms.
  • Diagnostic work-up including laboratory tests and computed tomography (CT).
  • Literature review for similar reported cases.

Main Results:

  • Computed tomography revealed acute cholecystitis within a large diaphragmatic hernia in the thorax.
  • Initial laboratory findings showed elevated inflammatory markers but lacked typical signs of acute cholecystitis.
  • Only one prior case of intrathoracic gallbladder due to non-traumatic diaphragmatic hernia was identified.

Conclusions:

  • Intrathoracic acute cholecystitis presents with uncharacteristic symptoms, posing a diagnostic challenge.
  • The altered anatomical location of the gallbladder due to diaphragmatic hernia can mask typical clinical and laboratory findings.
  • This case underscores the importance of considering rare anatomical variations in differential diagnoses.