A 25-year-old Woman with Cholecystolithiasis, Cholecystitis, Choledocholithiasis, and Acute Hepatitis

Authors

  • Naldo Nathanael Departmnet of Internal Medicine, Faculty of Medicine, Diponegoro University, Semarang, Indonesia
  • Hery Djagat Purnomo Division of Gastroenterohepatology, Department of Internal Medicine, Faculty of Medicine, Diponegoro University/Kariadi Hospital, Semarang, Indonesia
  • Cecilia Oktaria Permatadewi Division of Gastroenterohepatology, Department of Internal Medicine, Faculty of Medicine, Diponegoro University/Kariadi Hospital, Semarang, Indonesia

DOI:

https://doi.org/10.36408/mhjcm.v11i2.930

Keywords:

Cholecystolithiasis, Cholecystitis, Choledocolithiasis, Fatty liver

Abstract

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.

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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

2024-07-31

How to Cite

1.
Nathanael N, Purnomo HD, Permatadewi CO. A 25-year-old Woman with Cholecystolithiasis, Cholecystitis, Choledocholithiasis, and Acute Hepatitis. Medica Hospitalia J. Clin. Med. [Internet]. 2024 Jul. 31 [cited 2024 Dec. 11];11(2):220-5. Available from: http://medicahospitalia.rskariadi.co.id/medicahospitalia/index.php/mh/article/view/930

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