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Cólico Biliar Hipercinético Refractario: Un Caso de Disquinesia Biliar

Brielle Coe¹, Iman Elkhashab², Mian Arsam Haroon³

¹College of Medicine, Drexel University College of Medicine, Philadelphia, USA.

|February 26, 2026

Resumen

La disquinesia biliar hipercinética, un trastorno raro de la motilidad de la vesícula biliar, puede causar síntomas significativos. La intervención quirúrgica, como la colecistectomía asistida por robot, puede ofrecer alivio para esta afección.

Área de la Ciencia:

Gastroenterología
Innovación Quirúrgica

Sus antecedentes:

La disquinesia biliar implica una motilidad anormal de la vesícula biliar, lo que afecta la fracción de eyección biliar.
La disquinesia biliar hipercinética es rara, a menudo asintomática y carece de pautas de tratamiento.

Objetivo del estudio:

Presentar un caso de cólico biliar hipercinético.
Discutir los desafíos diagnósticos y el manejo de esta rara afección.

Principales métodos:

Una evaluación integral que incluye imágenes y gammagrafía HIDA.
Colecistectomía asistida por robot (RAC) para el alivio sintomático.

Principales resultados:

Una mujer de 48 años presentó dolor en el CSD, náuseas y pérdida de peso.
La gammagrafía HIDA reveló una fracción de eyección de la vesícula biliar del 100%.
La RAC condujo a una mejoría sintomática.

Conclusiones:

La disquinesia biliar hipercinética presenta desafíos diagnósticos y de manejo.
La intervención quirúrgica puede ser eficaz para los pacientes sintomáticos.

Palabras clave:

disquinesia biliar colecistectomía disquinesia de la vesícula biliar hida dolor abdominal en el cuadrante superior derecho

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