Clinical «mask» in acute cholecystitis

Abstract

Introduction. Cholecystocardial syndrome is a symptom complex characterized by a change in normal cardiac activity against the background of pathological processes associated with the hepatobiliary zone.
Aim of the study: demonstration of a clinical case of treatment of a patient with acute myocardial infarction and acute destructive cholecystitis.
Materials and methods. This paper presents the clinical experience of diagnostics and treatment of a 57-year-old patient with cholecystocardial syndrome. The main complaints were: acute pain in the right hypochondrium, epigastric region, compressive pain behind the breastbone radiating to the upper left extremity, nausea, shortness of breath. The patient was diagnosed acute myocardial infarction in the emergency room.
Results. The patient underwent stenting about floating thrombus of the left coronary artery trunk, after stabilization of his condition in 2 days due to continuing clinical picture of acute cholecystitis, laparoscopic cholecystectomy was performed. Postoperative period was without complications. After examination of the patient with the cardiologist in 1, 6 and 12 months after the operation, no complications from the cardiovascular system were found, according to ultrasound study of the abdominal organs, there were signs of diffuse changes in the liver.
Conclusion. This syndrome is a dangerous "mask", timely diagnosis, allowed to avoid severe complications.