title: A case of persistent hiccup after laparoscopic cholecystectomy.
abstract: A 79-year-old man, with history of recent laparoscopic cholecystectomy, came to our attention for persistent hiccup, dysphonia, and dysphagia. Noninvasive imaging studies showed a nodular lesion in the right hepatic lobe with transdiaphragmatic infiltration and increased tracer uptake on positron emission tomography. Suspecting a malignant lesion and given the difficulty of performing a percutaneous transthoracic biopsy, the patient underwent surgery. Histological analysis of surgical specimen showed biliary gallstones surrounded by exudative inflammation, resulting from gallbladder rupture and gallstones spillage as a complication of the previous surgical intervention. This case highlights the importance of considering such rare complication after laparoscopic cholecystectomy.
authors.affiliation: SOD Medicina Interna ad Orientamento all'Alta Complessità Assistenziale 3, AOU Careggi, Largo Brambilla 3, 50134 Firenze, Italy.
authors.forename: Elisa
authors.initials: E
authors.lastname: Grifoni
authors.forename: Costanza
authors.initials: C
authors.lastname: Marchiani
authors.forename: Alessia
authors.initials: A
authors.lastname: Fabbri
authors.forename: Gabriele
authors.initials: G
authors.lastname: Ciuti
authors.forename: Andrea
authors.initials: A
authors.lastname: Pavellini
authors.forename: Francesco
authors.initials: F
authors.lastname: Mancuso
authors.forename: Riccardo
authors.initials: R
authors.lastname: Viligiardi
authors.forename: Alberto
authors.initials: A
authors.lastname: Moggi Pignone