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A right atrial myxoma presenting with misleading features of acalculous cholecystitis.

ABSTRACT: Diffuse thickening, a layered appearance of the gallbladder wall and the accumulation of surrounding fluid are considered as sensitive and relatively specific imaging findings of gallbladder inflammation. In the absence of gallstones, the diagnosis of acalculous cholecystitis can be further supported by the presence of fever, epigastric pain, right upper abdominal quadrant (RUQ) tenderness on inspiration and elevated markers of inflammation. In this report, we describe a 35-year-old schoolteacher who presented with all of the above clinical, laboratory and imaging findings that were eventually attributed to gallbladder oedema and liver congestion (abdominal imaging and RUQ tenderness) caused by an atrial myxoma interfering, with the atrioventricular circulation of the right heart and causing constitutional manifestations (fever and elevated markers of inflammation).

SUBMITTER: Lempesis IG

PROVIDER: S-EPMC7048078 | biostudies-literature | 2020 Feb

REPOSITORIES: biostudies-literature

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A right atrial myxoma presenting with misleading features of acalculous cholecystitis.

Lempesis Ioannis G IG Naxaki Anna A Koukoufiki Eirini E Karagkouni Ioanna I Tzanatou Amalia A Tourtidou Calliroe C Avgerinos Peter C PC

Oxford medical case reports 20200228 2

Diffuse thickening, a layered appearance of the gallbladder wall and the accumulation of surrounding fluid are considered as sensitive and relatively specific imaging findings of gallbladder inflammation. In the absence of gallstones, the diagnosis of acalculous cholecystitis can be further supported by the presence of fever, epigastric pain, right upper abdominal quadrant (RUQ) tenderness on inspiration and elevated markers of inflammation. In this report, we describe a 35-year-old schoolteache ...[more]

PMID: 32128222

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