Cholecystalgia: An Atypical Presentation of Congestive Heart Failure in a New Diagnosis of Alcohol-Induced Cardiomyopathy
Right upper quadrant (RUQ) pain is a frequent presenting symptom in the emergency department, and gallstone-induced acute cholecystitis is one of the main causes; in addition, RUQ pain can be a consequence of several other conditions. Although rare, it may also indicate cholecystalgia from gallbladd...
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| Language: | English |
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American College of Physicians
2023-01-01
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| Series: | Annals of Internal Medicine: Clinical Cases |
| Online Access: | https://www.acpjournals.org/doi/10.7326/aimcc.2022.0857 |
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| author | Andrea Finazzi Roberto Cosentini |
| author_facet | Andrea Finazzi Roberto Cosentini |
| author_sort | Andrea Finazzi |
| collection | DOAJ |
| description | Right upper quadrant (RUQ) pain is a frequent presenting symptom in the emergency department, and gallstone-induced acute cholecystitis is one of the main causes; in addition, RUQ pain can be a consequence of several other conditions. Although rare, it may also indicate cholecystalgia from gallbladder edema, which is usually related to other conditions, such as congestive heart failure (CHF), alcoholic and nonalcoholic liver cirrhosis, acute viral or drug-induced hepatitis, renal failure, and hypoproteinemia. We present a case of cholecystalgia resulting from gallbladder edema in a patient with a newly diagnosed alcohol-induced cardiomyopathy without the common CHF signs and symptoms. |
| format | Article |
| id | doaj-art-dfe7c7e4a82b4f6db11fb153bb90fcb1 |
| institution | OA Journals |
| issn | 2767-7664 |
| language | English |
| publishDate | 2023-01-01 |
| publisher | American College of Physicians |
| record_format | Article |
| series | Annals of Internal Medicine: Clinical Cases |
| spelling | doaj-art-dfe7c7e4a82b4f6db11fb153bb90fcb12025-08-20T02:17:28ZengAmerican College of PhysiciansAnnals of Internal Medicine: Clinical Cases2767-76642023-01-012110.7326/aimcc.2022.0857Cholecystalgia: An Atypical Presentation of Congestive Heart Failure in a New Diagnosis of Alcohol-Induced CardiomyopathyAndrea Finazzi0Roberto Cosentini11Scuola di Specializzazione in Medicina d'Emergenza-Urgenza, University of Milan, Milano, Italy2Emergency Department, ASST Papa Giovanni XXIII Bergamo Hospital, Bergamo, ItalyRight upper quadrant (RUQ) pain is a frequent presenting symptom in the emergency department, and gallstone-induced acute cholecystitis is one of the main causes; in addition, RUQ pain can be a consequence of several other conditions. Although rare, it may also indicate cholecystalgia from gallbladder edema, which is usually related to other conditions, such as congestive heart failure (CHF), alcoholic and nonalcoholic liver cirrhosis, acute viral or drug-induced hepatitis, renal failure, and hypoproteinemia. We present a case of cholecystalgia resulting from gallbladder edema in a patient with a newly diagnosed alcohol-induced cardiomyopathy without the common CHF signs and symptoms.https://www.acpjournals.org/doi/10.7326/aimcc.2022.0857 |
| spellingShingle | Andrea Finazzi Roberto Cosentini Cholecystalgia: An Atypical Presentation of Congestive Heart Failure in a New Diagnosis of Alcohol-Induced Cardiomyopathy Annals of Internal Medicine: Clinical Cases |
| title | Cholecystalgia: An Atypical Presentation of Congestive Heart Failure in a New Diagnosis of Alcohol-Induced Cardiomyopathy |
| title_full | Cholecystalgia: An Atypical Presentation of Congestive Heart Failure in a New Diagnosis of Alcohol-Induced Cardiomyopathy |
| title_fullStr | Cholecystalgia: An Atypical Presentation of Congestive Heart Failure in a New Diagnosis of Alcohol-Induced Cardiomyopathy |
| title_full_unstemmed | Cholecystalgia: An Atypical Presentation of Congestive Heart Failure in a New Diagnosis of Alcohol-Induced Cardiomyopathy |
| title_short | Cholecystalgia: An Atypical Presentation of Congestive Heart Failure in a New Diagnosis of Alcohol-Induced Cardiomyopathy |
| title_sort | cholecystalgia an atypical presentation of congestive heart failure in a new diagnosis of alcohol induced cardiomyopathy |
| url | https://www.acpjournals.org/doi/10.7326/aimcc.2022.0857 |
| work_keys_str_mv | AT andreafinazzi cholecystalgiaanatypicalpresentationofcongestiveheartfailureinanewdiagnosisofalcoholinducedcardiomyopathy AT robertocosentini cholecystalgiaanatypicalpresentationofcongestiveheartfailureinanewdiagnosisofalcoholinducedcardiomyopathy |