Acute Cholecystitis Mimics Ischemic Cardiac Disease: A Case Report and Review of the Literature  

作　　者：Osman Habeeb Taj Eldeen Ebrahim 

机构地区：[1]Faculty of Medicine and Health Sciences, University of Kassala, Kassala, Sudan [2]Suliman Alrajhi Medical College, Al Bukaryiha, KSA [3]Hepatobilliary and Liver Transplantation, Faculty of Medicine and Health Sciences, University of Kassala, Kassala, Sudan

出　　处：《Case Reports in Clinical Medicine》2014年第11期609-615,共7页临床医学病理报告（英文）

摘　　要：Chest pain and shortness of breath are typical indicators of cardiac problem and may lead to life threatening conditions. Nevertheless, these symptoms may also be associated with a non-cardiac condition clinically such as cholecystitis. We have reported 4 cases in a period of 6 months wherein the patients presented with cardiac-like symptom show ever;they were subsequently diagnosed with non-cardiac problems. Two patients presented with severe chest pain and shortness of breath mimicking angina pectoris. They were admitted to the intensive care unit for emergency management. The ECG findings were normal. There were two other patients who also presented with severe chest pain and shortness of breath with ST segment elevation during the ECG examination. The abdominal ultrasound in all the 4 patients showed typical features of acute calculus cholecystitis. All patients were young (30 - 36 years of age) females who were obese (BMI ranging from 30 - 34). Cholecystectomy was performed which led to improved symptoms postoperatively and ECG changes became normal.Chest pain and shortness of breath are typical indicators of cardiac problem and may lead to life threatening conditions. Nevertheless, these symptoms may also be associated with a non-cardiac condition clinically such as cholecystitis. We have reported 4 cases in a period of 6 months wherein the patients presented with cardiac-like symptom show ever;they were subsequently diagnosed with non-cardiac problems. Two patients presented with severe chest pain and shortness of breath mimicking angina pectoris. They were admitted to the intensive care unit for emergency management. The ECG findings were normal. There were two other patients who also presented with severe chest pain and shortness of breath with ST segment elevation during the ECG examination. The abdominal ultrasound in all the 4 patients showed typical features of acute calculus cholecystitis. All patients were young (30 - 36 years of age) females who were obese (BMI ranging from 30 - 34). Cholecystectomy was performed which led to improved symptoms postoperatively and ECG changes became normal.

关 键 词：CARDIAC CALCULUS CHOLECYSTITIS HEART ISCHEMIC CARDIAC Disease 

分 类 号：R5[医药卫生—内科学]