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Case Reports in Surgery
Volume 2013 (2013), Article ID 206768, 4 pages
http://dx.doi.org/10.1155/2013/206768
Case Report

A Case of Persistent Hiccup after Laparoscopic Cholecystectomy

1SOD Medicina Interna ad Orientamento all’Alta Complessità Assistenziale 3, AOU Careggi, Largo Brambilla 3, 50134 Firenze, Italy
2SOD Chirurgia Generale e di Urgenza 1, AOU Careggi, Largo Brambilla 3, 50134 Firenze, Italy

Received 12 February 2013; Accepted 17 March 2013

Academic Editors: S. S. Daradkeh, G. Rallis, and S. Tatebe

Copyright © 2013 Elisa Grifoni et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

A 79-year-old man, with history of recent laparoscopic cholecystectomy, came to our attention for persistent hiccup, dysphonia, and dysphagia. Noninvasive imaging studies showed a nodular lesion in the right hepatic lobe with transdiaphragmatic infiltration and increased tracer uptake on positron emission tomography. Suspecting a malignant lesion and given the difficulty of performing a percutaneous transthoracic biopsy, the patient underwent surgery. Histological analysis of surgical specimen showed biliary gallstones surrounded by exudative inflammation, resulting from gallbladder rupture and gallstones spillage as a complication of the previous surgical intervention. This case highlights the importance of considering such rare complication after laparoscopic cholecystectomy.