A 25-year-old Woman with Cholecystolithiasis, Cholecystitis, Choledocholithiasis, and Acute Hepatitis
DOI:
https://doi.org/10.36408/mhjcm.v11i2.930Keywords:
Cholecystolithiasis, Cholecystitis, Choledocolithiasis, Fatty liverAbstract
Introduction: Gallstone disease stands as the foremost gastrointestinal issue leading to hospital admissions, while also emerging as a substantial global public health concern, impacting approximately one-fifth of the population.
Case Report: A 25-year-old woman was admitted with abdominal pain with a history of gallstones. She had risk factors such as obesity with a Body Mass Index (BMI) of 35.3 and dyslipidemia. Further examination showed that she had acute hepatitis and choledocholithiasis. The patient underwent Endoscopic Retrograde Cholangiopancreatography (ERCP) with balloon extraction. The patient recovered from her condition then scheduled for cholecystectomy.
Conclusion: This case showed a relatively young female with cholecystolithiasis, cholecystitis, choledocholithiasis, and acute hepatitis presenting with colicky pain. Comprehensive management of gallstone diseases is essential to avert additional complications and the possibility of relapse, especially considering the young age of the patient.
Downloads
References
1. EASL Clinical Practice Guidelines on the prevention, diagnosis and treatment of gallstones. 2016.
2. Portincasa P, Di Ciaula A, De Bari O, Garruti G, Palmieri VO, Wang DQH. Management of gallstones and its related complications. Vol. 10, Expert Review of Gastroenterology and Hepatology. Taylor and Francis Ltd; 2016. p. 93–112.
3. Gutt C, Schläfer S, Lammert F. The treatment of gallstone disease. Dtsch Arztebl Int. 2020 Feb 28;117(9):148–58.
4. Mou D, Tesfasilassie T, Hirji S, Ashley SW. Advances in the management of acute cholecystitis. Vol. 3, Annals of Gastroenterological Surgery. Wiley-Blackwell Publishing Ltd; 2019. p. 247–53.
5. Gomes CA, Junior CS, di Saveiro S, Sartelli M, Kelly MD, Gomes CC, et al. Acute calculous cholecystitis: Review of current best practices. World J Gastrointest Surg. 2017;9(5):118.
6. Loozen CS, Oor JE, van Ramshorst B, van Santvoort HC, Boerma D. Conservative treatment of acute cholecystitis: a systematic review and pooled analysis. Surg Endosc. 2017 Feb 1;31(2):504–15.
7. Molvar C, Glaenzer B. Choledocholithiasis: Evaluation, treatment, and outcomes. Semin Intervent Radiol. 2016 Dec 1;33(4):268–76.
8. Cai JS, Qiang S, Bao-Bing Y. Advances of recurrent risk factors and management of choledocholithiasis. Vol. 52, Scandinavian Journal of Gastroenterology. Taylor and Francis Ltd; 2017. p. 34–43.
9. Buxbaum JL, Abbas Fehmi SM, Sultan S, Fishman DS, Qumseya BJ, Cortessis VK, et al. ASGE guideline on the role of endoscopy in the evaluation and management of choledocholithiasis. Gastrointest Endosc. 2019 Jun 1;89(6):1075-1105.e15.
10. Andrade RJ, Aithal GP, Björnsson ES, Kaplowitz N, Kullak-Ublick GA, Larrey D, et al. EASL Clinical Practice Guidelines: Drug-induced liver injury. J Hepatol. 2019 Jun 1;70(6):1222–61.
11. Devarbhavi H, Aithal G, Treeprasertsuk S, Takikawa H, Mao Y, Shasthry SM, et al. Drug-induced liver injury: Asia Pacific Association of Study of Liver consensus guidelines. Hepatol Int. 2021 Apr 1;15(2):258–82.
12. Chalasani N, Younossi Z, Lavine JE, Charlton M, Cusi K, Rinella M, et al. The Diagnosis and Management of Nonalcoholic Fatty Liver Disease: Practice Guidance From the American Association for the Study of Liver Diseases. Hepatology. 2018;67(1):328–57.
13. Eslam M, Sarin SK, Wong VWS, Fan JG, Kawaguchi T, Ahn SH, et al. The Asian Pacific Association for the Study of the Liver clinical practice guidelines for the diagnosis and management of metabolic associated fatty liver disease. Vol. 14, Hepatology International. Springer; 2020. p. 889–919.
Additional Files
Published
How to Cite
Issue
Section
Citation Check
License
Copyright (c) 2024 Naldo Nathanael, Hery Djagat Purnomo, Cecilia Oktaria Permatadewi (Author)
This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.
Copyrights Notice
Copyrights:
Researchers publishing manuscrips at Medica Hospitalis: Journal of Clinical Medicine agree with regulations as follow:
Copyrights of each article belong to researchers, and it is likewise the patent rights
Researchers admit that Medica Hospitalia: Journal of Clinical Medicine has the right of first publication
Researchers may submit manuscripts separately, manage non exclusive distribution of published manuscripts into other versions (such as: being sent to researchers’ institutional repository, publication in the books, etc), admitting that manuscripts have been firstly published at Medica Hospitalia: Journal of Clinical Medicine
License:
Medica Hospitalia: Journal of Clinical Medicine is disseminated based on provisions of Creative Common Attribution-Share Alike 4.0 Internasional It allows individuals to duplicate and disseminate manuscripts in any formats, to alter, compose and make derivatives of manuscripts for any purpose. You are not allowed to use manuscripts for commercial purposes. You should properly acknowledge, reference links, and state that alterations have been made. You can do so in proper ways, but it does not hint that the licensors support you or your usage.
