• Ann Emerg Med · May 1999

    Case Reports

    Duplicate gallbladder cholecystitis after open cholecystectomy.

    • T Shapiro and W Rennie.
    • Long Island Jewish Medical Center, New Hyde Park, NY, USA. RTShap@aol.com
    • Ann Emerg Med. 1999 May 1;33(5):584-7.

    AbstractA 42-year-old man presented with acute right upper quadrant abdominal pain 2 years after open cholecystectomy. Evaluation revealed cholecystitis in a second gallbladder and a second cholecystectomy was performed. Acute right upper quadrant abdominal pain after cholecystectomy presents a wide differential diagnosis, including the often idiopathic and difficult to manage postcholecystectomy syndrome. Emergency physicians should be aware of the most common causes of pain in these patients. Previously unrecognized congenital abnormalities of the biliary system should be considered when the diagnosis is not clear, as highlighted by this case report.

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