Case report: an unrecognized etiology of transient gallbladder pain in heart failure diagnosed with internist-performed point-of-care ultrasound

被引：9

作者：

Desautels C.N. ^{[1
]}

Tierney D.M. ^{[1
]}

Rossi F. ^{[2
]}

Rosborough T.K. ^{[1
]}

机构：

[1] Department of Medical Education, Abbott Northwestern Hospital, Graduate Medical Education, Mail Route #11135, 800 E. 28th Street, Minneapolis, 55407, MN

[2] Minnesota Gastroenterology, 15700 37th Avenue North #300, Plymouth, 55446, MN

来源：

Critical Ultrasound Journal | 2015年 / 7卷 / 1期

关键词：

Cholecystalgia; Cholecystitis; Gallbladder; Heart failure; Point-of-care ultrasound;

D O I：

10.1186/s13089-014-0019-8

中图分类号：

学科分类号：

摘要：

The excellent sensitivity and specificity of right upper quadrant (RUQ) ultrasound for gallbladder pathology in patients with abdominal pain is heavily relied upon in routine diagnostic evaluation. The hour-to-hour timing of this test in a patient with fluctuating symptoms is not widely recognized as having a significant impact on its sensitivity. However, we present a case report describing the essential role of symptom-timed point-of-care ultrasound in making an elusive diagnosis of transient cholecystalgia in a patient with RUQ pain and congestive heart failure (CHF). This case also demonstrates an important etiology of RUQ pain in patients with CHF beyond that of congestive hepatopathy. A review of the related entities of acalculous cholecystitis, congestive hepatopathy, and diffuse gallbladder wall thickening is provided. © 2015, Desautels et al.; licensee Springer.

引用

页数：7

共 21 条

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