Abdominal Intracavitary Calculi Misdiagnosed as Common Bile Duct Calculi:a Case Report
CHEN Hao-xin
ZHENG Chu-fa
HUANG Sheng-xin
PENG Yun-heng
Abstract：Objective To investigate clinical features and misdiagnosed causes of abdominal intracavitary calculi. Methods Clinical data of one patient with abdominal intracavitary calculi, who was misdiagnosed as having common bile duct calculi, was retrospectively analyzed. Results The patient was admitted for pain in right hypochondrial region for more than one month. The patient was misdiagnosed as having common bile duct calculi in local hospital, and patient's symptoms had be improved a little after symptomatic treatment, but the condition was recurrent. After admitting in our hospital, examinations such as blood routine, liver function, computed tomography ( CT) scan for abdomen and laparoscopic approach surgery under tracheal cannula and intubation anesthesia were performed, and the patient was confirmed as having abdominal intracavitary calculi combined with infection and chronic cholecystitis according to histopathologic result. The patient was discharged after condition had been improved by anti-infectious therapy. No related complication was found with 10 months of follow-up. Con-clusion Clinicians should take into account the possible of abdominal intracavitary calculi for patients with pain in right hypo-chondrial region without remission by symptomatic treatment. Related examinations should be performed completely in order to avoid misdiagnosis and mistreatment.
Keywords：Abdominal intracavitary calculiMisdiagnosisCholedocholithiasis
Publication Date：2017-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：2( 13-14 )