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[Persistent hiccups after perforated cholecystitis].

Jul Eirik Olsen1, Esten Nymoen Vandsemb2, Martin Alavi Treider3

  • 1Ortopedisk avdeling, Oslo universitetssykehus, Ullevål.

Tidsskrift for Den Norske Laegeforening : Tidsskrift for Praktisk Medicin, Ny Raekke
|January 23, 2024
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Summary
This summary is machine-generated.

Persistent hiccups, often lasting over 48 hours, can signal serious conditions. This case highlights perforated cholecystitis as a rare cause, emphasizing prompt diagnosis and treatment for hiccup resolution.

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Area of Science:

  • Gastroenterology
  • General Surgery

Background:

  • Persistent hiccups, defined as lasting more than 48 hours, are uncommon and necessitate comprehensive investigation due to diverse potential etiologies.
  • Identifying the root cause of intractable hiccups is crucial for effective management.

Observation:

  • A case study involving a male patient in his seventies presenting with 11 days of persistent hiccups.
  • The hiccups were preceded by transient abdominal pain.

Findings:

  • A computed tomography (CT) scan revealed perforated cholecystitis with an intra-abdominal abscess as the underlying cause.
  • Percutaneous drainage of the abscess and antibiotic therapy led to the cessation of hiccups.

Implications:

  • This case underscores the importance of considering intra-abdominal pathologies, such as perforated cholecystitis, in the differential diagnosis of persistent hiccups.
  • Diagnostic imaging, including CT scans, is vital for identifying the source of intractable hiccups.
  • Prompt treatment of the underlying condition, alongside symptomatic management, is essential for resolving persistent hiccups.