Case 21

Alissa J. Walsh, Otto C. Buchel, Jane Collier and Simon P.L. Travis

in Oxford Case Histories in Gastroenterology and Hepatology

Published on behalf of Oxford University Press

Published in print March 2010 | ISBN: 9780199557899
Published online November 2012 | e-ISBN: 9780191753329 | DOI:

Series: Oxford Case Histories

Case 21

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The gastroenterology registrar was called to see a 38-year-old woman with multiple sclerosis, right upper quadrant pain, and fever. She had had cholecystitis a week earlier and a laparoscopic cholecystectomy 5 days ago. Histopathology had shown a gangrenous gallbladder with several areas of microperforation. Initially her recovery had been good, but on postoperative day 5 she developed severe right upper quadrant pain, back pain, and fevers. Her only medications were the oral contraceptive pill and interferon treatment for her multiple sclerosis. There was a family history of thrombosis, and prophylactic low molecular weight heparin had been given perioperatively.

Chapter.  1294 words. 

Subjects: Gastroenterology

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