胆总管结石伪装成子痫前期严重特征的患者有胆囊切除术的病例报告

S. Nahidi, S. Dave, Brittany N Robles, Amr Shayeb
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引用次数: 0

摘要

一例43岁多孕患者,产后12天,有胆囊切除术史,因血压明显升高、恶心、呕吐、胃脘痛和头痛就诊。她符合严重子痫前期的标准,并给予硫酸镁治疗。当实验值和腹痛对药物无反应时,需要进一步调查。经磁共振胆管造影,诊断为胆总管结石。
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Choledocholithiasis Masquerading as Preeclampsia with Severe Features in a Patient with a History of a Cholecystectomy Case Report
A 43-year-old multigravida patient, 12 days postpartum and with a history of cholecystectomy, presented to our institution with markedly elevated blood pressure, nausea, vomiting, epigastric pain, and headache. She met the criteria for preeclampsia with severe features and was placed on magnesium sulfate. Further investigation was required when the laboratory values and abdominal pain were unresponsive to the medications. A magnetic resonance cholangiopancreatography was done and the patient was diagnosed with choledocholithiasis.
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