Two Cases of Acute Cholecystitis and Symptomatic Choledocholithiasis in Two Women Less than 40-Years-of-Age with Hormonal Intrauterine Devices
Joint Authors
Shields, Helen M.
Sidhu, Hasrat
Source
Case Reports in Gastrointestinal Medicine
Issue
Vol. 2018, Issue 2018 (31 Dec. 2018), pp.1-4, 4 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2018-11-21
Country of Publication
Egypt
No. of Pages
4
Main Subjects
Abstract EN
Levonorgestrel uterine implants are accepted as a safe and efficacious method of contraception.
One of the two major health side effects in a large controlled study of subcutaneous hormonal implants with levonorgestrel was a significant increase in gallbladder disease.
Gallbladder hypomotility is recognized as a side effect of the levonorgestrel (progesterone).
We recently saw on a Gastroenterology Consult Service, two women under 40-years-of-age who had been transferred from outside hospitals with acute cholecystitis with symptomatic choledocholithiasis.
Both required Endoscopic Retrograde Cholangiopancreatography and sphincterotomies in addition to laparoscopic cholecystectomies.
Both had hormonal (levonorgestrel-releasing) intrauterine devices in place for contraception.
Although one patient had a family history of gallstones, the other did not.
Both were nonobese, young women patients.
We were struck by the coincidence of seeing two such patients.
Few articles in the medical literature detail the clinical risks of gallstone disease in patients with hormonal (levonorgestrel-releasing) intrauterine devices.
Our experiences with these two patients led us to believe that patients with risk factors for gallstone disease, such as a positive family history, ethnic predisposition, or obesity, should be warned of possible problems, not only with gallbladder disease, but also of common duct stones.
American Psychological Association (APA)
Shields, Helen M.& Sidhu, Hasrat. 2018. Two Cases of Acute Cholecystitis and Symptomatic Choledocholithiasis in Two Women Less than 40-Years-of-Age with Hormonal Intrauterine Devices. Case Reports in Gastrointestinal Medicine،Vol. 2018, no. 2018, pp.1-4.
https://search.emarefa.net/detail/BIM-1143413
Modern Language Association (MLA)
Shields, Helen M.& Sidhu, Hasrat. Two Cases of Acute Cholecystitis and Symptomatic Choledocholithiasis in Two Women Less than 40-Years-of-Age with Hormonal Intrauterine Devices. Case Reports in Gastrointestinal Medicine No. 2018 (2018), pp.1-4.
https://search.emarefa.net/detail/BIM-1143413
American Medical Association (AMA)
Shields, Helen M.& Sidhu, Hasrat. Two Cases of Acute Cholecystitis and Symptomatic Choledocholithiasis in Two Women Less than 40-Years-of-Age with Hormonal Intrauterine Devices. Case Reports in Gastrointestinal Medicine. 2018. Vol. 2018, no. 2018, pp.1-4.
https://search.emarefa.net/detail/BIM-1143413
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1143413