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Chirurgia 2014 April;27(2):119-20

language: English

A rare persistent postoperative vomiting cause: pericardial effusion

Gemici K. 1, Bilgi M. 2, Katlandur H. 3, Kuzgun A. 4, Yildiz M. 5, Okuş A. 1, Ay S. 6

1 Mevlana University Faculty of Medicine Department of General Surgery, Konya, Turkey;
2 Mevlana University Faculty of Medicine Department of Internal Medicine, Konya, Turkey;
3 Mevlana University Faculty of Medicine Department of Cardiology, Konya, Turkey;
4 Mevlana University Faculty of Medicine Department of Cardiovascular Surgery, Konya, Turkey;
5 Mevlana University Faculty of Medicine Department of Radiology, Konya, Turkey;
6 Konya Training and Research Hospital Department of General Surgery, Konya, Turkey


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Nausea and vomiting are frequently seen after laparoscopic cholecystectomy. The type of surgery, intraoperative time, the type of anesthesia used, drugs administered, and patient specific characteristics (age, sex, obesity, etc.) affect post-op nausea and vomiting. Other causes, however, should be taken into consideration when the nausea and vomiting period exceeds 24-48 hours. This study probes a very rare post-op pericardial effusion case, which was only determined while investigating nausea and vomiting causes, alongside with literature data. A 66-year-old male patient was operated because of perforated acute cholecystitis. The patient was diagnosed with pericardial effusion upon the re-evaluation of his nausea and vomiting that became persistent and continuous. The patient’s complaints got better dramatically following pericardiocentesis.

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