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Choledochal Cysts in Adults: A Case Report and Literature Review.
Cureus
October 2024
General Surgery and Gastrointestinal Endoscopy, Hospital Regional de Alta Especialidad Dr. Gustavo A. Rovirosa Pérez, Villahermosa, MEX.
Choledochal cysts are a rare malformation of the biliary tract with an unknown etiology, predominantly affecting Asians and females. Although they are more often diagnosed during childhood, symptoms typically present in young adulthood due to complications. There are no pathognomonic clinical manifestations; the clinical presentation is associated with gallstones, choledocholithiasis, pancreatitis, cholangitis, and an increased risk of malignancy.
View Article and Find Full Text PDFAcute Biliary Pancreatitis in the First Trimester of Pregnancy Without Abdominal Pain, Associated With Vomiting: A Rare Atypical Clinical Case Report and a Mini-Review of the Literature.
Cureus
September 2024
Department of Obstetrics and Gynecology, General Hospital of Trikala, Trikala, GRC.
Article Synopsis
- Acute pancreatitis is uncommon in pregnancy, mainly due to gallstone formation, as highlighted by a case involving a 37-year-old pregnant woman at 13 weeks gestation with persistent vomiting but no abdominal pain.
- Diagnosis was made through clinical examination, history of gallstones, lab tests, and ultrasound, leading to prompt supportive treatment and monitoring.
- The patient improved and was discharged after six days, giving birth vaginally at 39 weeks, and later underwent laparoscopic surgery for gallbladder removal, emphasizing the varying management approaches for pregnant women with mild acute pancreatitis.
Article Synopsis
- * Elevated bile acids during pregnancy can lead to negative outcomes, and specific gene variants are linked to about 20% of severe ICP cases, affecting overall liver health and increasing risks for other conditions.
- * Understanding these genetic factors can help in creating personalized treatment and management plans, emphasizing the need for more research to improve ICP care and align with precision medicine approaches.
Presentation of a Rare Case of Acute Cholecystitis in the Last Trimester of Pregnancy Misdiagnosed As Acute Gastroenteritis: A Brief Review From Symptoms to Diagnosis and Effective Management of the Disease in Pregnant Women.
Cureus
August 2024
Department of Obstetrics and Gynecology, General Hospital of Trikala, Trikala, GRC.
This case presentation involves a 31-year-old pregnant woman (gravida 2, para 1) in her 33rd week of pregnancy, who presented to the Emergency Department of General Hospital of Trikala, in Greece, complaining of 24-hour abdominal pain, vomiting, and diarrheal stools. With a possible initial diagnosis of acute gastroenteritis, it was decided to admit the pregnant woman to the Obstetrics and Gynecology Department. Abdominal ultrasound revealed thickening of the gallbladder wall without the presence of gallstones or distension of the intrahepatic and extrahepatic bile ducts.
View Article and Find Full Text PDFAGA Clinical Practice Update on Pregnancy-Related Gastrointestinal and Liver Disease: Expert Review.
Gastroenterology
October 2024
Division of Gastroenterology and Hepatology, Oregon Health and Science University, Portland, Oregon.
Article Synopsis
- The AGA Institute Clinical Practice Update provides guidance on managing gastrointestinal and liver diseases in pregnant patients, incorporating both published evidence and expert opinions.
- Key recommendations include preconception counseling for reproductive-aged individuals, individualized health interventions during pregnancy, and the coordination of care for high-risk cases involving complex conditions.
- The guidelines emphasize that while Best Practice Advice statements are based on current literature, they do not have formal ratings for evidence quality, reflecting the need for case-specific assessment.
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