Patient named NTKT (50 years old, Vinh Long province) was admitted to the emergency room at Hoan My Cuu Long Hospital with high fever, yellow skin, yellow eyes, upper abdominal pain, severe right upper quadrant pain, and nausea.
According to the family, for about 3 months now, after eating, the patient often has flatulence, indigestion, and sometimes pain in the right upper quadrant. Thinking it is a stomach disease, he only buys medicine and does not go to the doctor.
Through examination and laboratory testing at the hospital, MSCT results showed that the patient had many molded stones filling the common bile duct and gallbladder, 12 mm in diameter. The doctor diagnosed the patient with common bile duct stones as having cholangitis, and for gallbladder stones as having acute cholecystitis.
After consultation and consensus, the team of doctors performed endoscopic retrograde cholangiopancreatography, followed by the patient undergoing laparoscopic cholecystectomy. The successful surgery lasted 90 minutes. Currently, the patient is fine, has no abdominal pain, and test indicators have returned to normal levels.
Master, Specialist Doctor 1 Luu Trong Nghia - Department of Gastroenterology, Hoan My Cuu Long Hospital - said that acute cholecystitis due to gallbladder stones is an inflammation of the gallbladder, with the cause of obstruction due to Stones blocking the neck of the gallbladder or large stones obstructing the circulation of the gallbladder with the bile duct; A dangerous complication of choledocholithiasis is biliary tract infectious shock, which if not treated promptly can lead to multi-organ failure.
Previously, if this situation occurred, the patient would have to undergo 2 surgeries. First, endoscopic retrograde cholangiopancreatography to remove stones in the common bile duct. After 3-5 days, the doctor will perform the next surgery by laparoscopically removing the gallbladder. Currently, at the hospital, two internal surgeries can be performed in one operation, helping patients recover faster and reducing treatment costs.
From the above patient's case, Dr. Nghia recommends that everyone should be alert for signs of cramping pain in the upper abdomen or right lower quadrant, jaundice, diarrhea, high fever... If in doubt when seeing the symptoms This symptom should be examined for a definite diagnosis and timely treatment to avoid dangerous health complications, even life-threatening.
