Naslov
Intermittent Complete Heart Block in Acute Calculous Cholecystitis

Autori
Sorić, Maša ; Miletić, Wilma ; Žiga, Sead ; Grabovac, Vlatko

Izvornik
Signa Vitae (1334-5605) 10 (2015), Suppl.1; 53-54

Vrsta, podvrsta i kategorija rada
Radovi u časopisima, članak, ostalo

Ključne riječi
Atrioventricular block, cholecystitis, gallstones, cardio-biliary reflex

Sažetak
The aim of this case report is to present a case of a 24-year old male patient with known cholelithiasis who was presented to the emergency department with acute calculous cholecystitis. The patient was initially in sinus rhythm, but during observation converted into a complete heart block. A temporary heart pacemaker was inserted prior to an emergency laparoscopic cholecystectomy. Postoperatively, the patient converted back to sinus rhythm and made a complete recovery. Considering the patient’s age, normal cardiac workup and that his arrhythmia disappeared after the removal of his gallbladder, it was postulated that this patient had a case of cardio-biliary reflex. Special attention must be given to patients with acute cholecystitis and electrocardiographic changes. Acute cholecystitis is a treatable cause of a newly diagnosed atrioventricular block, thus immediate cholecystectomy should not be deferred.

Izvorni jezik
Engleski

Znanstvena područja
Kliničke medicinske znanosti

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