[A case of acute cholecystitis after colonoscopy].
A 43-year-old man, who received total gastrectomy five years ago for advanced gastric cancer, underwent a screening colonoscopy and abdominal CT scan. Abdominal CT scan revealed no abnormal findings. Colonoscopy revealed polyps at the rectum, which were removed by polypectomy. The patient did not complain of abdominal pain or discomfort throughout the procedure. But, he developed right upper quadrant abdominal pain on the next day after colonoscopy. Abdominal CT scan revealed the distended gallbladder with mild wall thickening and suspicious sandy stones or sludge in the gallbladder. The patient underwent an open cholecystectomy. Pathology was compatible with acute cholecystitis. We should be aware of and consider cholecystitis in the differential diagnosis for patients with abdominal pain after colonoscopy.
Department of Internal Medicine, Gangneung Asan Hospital, Ulsan University College of Medicine, Gangneung, Korea.
Jung Ho
JH
Yun
Woo Jin
WJ
Jeong
Woo Sung
WS
Chang
Min Hyeong
MH
Jo
Jong Kyu
JK
Park
Sang Jin
SJ
Lee
Young Don
YD
Kim
Gab Jin
GJ
Cheon
D000328:Adult; D049448:Cholangiopancreatography, Magnetic Resonance; D002763:Cholecystectomy; D041881:Cholecystitis, Acute / Q000175:diagnosis* / Q000209:etiology / Q000473:pathology; D003113:Colonoscopy / Q000009:adverse effects*; D003937:Diagnosis, Differential; D005704:Gallbladder / Q000473:pathology; D042882:Gallstones / Q000175:diagnosis; D006801:Humans; D008297:Male; D011127:Polyps / Q000473:pathology; D014057:Tomography, X-Ray Computed