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Clinical Review and Case Report of Ceftriaxone-associated Gallbladder Pseudolithiasis in Adult / 대한소화기학회지
The Korean Journal of Gastroenterology ; : 378-381, 2014.
Artigo em Coreano | WPRIM | ID: wpr-222307
ABSTRACT
Although ceftriaxone can be used safely in most instances, it can sometimes induce biliary sludge or stone formation. Most of the patients remain asymptomatic and children are more susceptible to develop this condition, but adults can be affected as well. Because sludge or stones disappear after discontinuing ceftriaxone, this condition is referred to as ceftriaxone-associated pseudolithiasis. A 54-year-old woman was admitted to a local clinic for management of ileus. During admission, she had received ceftriaxone and metronidazole, and had been on nil per os for the past 6 days. She was then referred to our hospital for cholecystectomy due to persistent right upper quadrant pain. Although imaging studies showed gallbladder sludge, pseudolithiasis was suspected because of ceftriaxone administration history and prolonged fasting. After careful watch-and-wait, the condition resolved spontaneously after ceftriaxone discontinuation. Our clear understanding on ceftriaxone-associated gallbladder pseudolithiasis allowed us to avoid an unnecessary cholecystectomy. Herein, we report the case of a 54-year-old woman with ceftriaxone-associated gallbladder pseudolithiasis that was successfully managed by ceftriaxone discontinuation alone.
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Texto completo: DisponíveL Índice: WPRIM (Pacífico Ocidental) Assunto principal: Ceftriaxona / Colecistectomia / Tomografia Computadorizada por Raios X / Estudos Retrospectivos / Colecistolitíase / Vesícula Biliar / Antibacterianos Tipo de estudo: Estudo observacional Limite: Adulto / Idoso / Feminino / Humanos / Masculino Idioma: Coreano Revista: The Korean Journal of Gastroenterology Ano de publicação: 2014 Tipo de documento: Artigo

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Texto completo: DisponíveL Índice: WPRIM (Pacífico Ocidental) Assunto principal: Ceftriaxona / Colecistectomia / Tomografia Computadorizada por Raios X / Estudos Retrospectivos / Colecistolitíase / Vesícula Biliar / Antibacterianos Tipo de estudo: Estudo observacional Limite: Adulto / Idoso / Feminino / Humanos / Masculino Idioma: Coreano Revista: The Korean Journal of Gastroenterology Ano de publicação: 2014 Tipo de documento: Artigo