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Previous cholecystectomy and choledochal sphincter spasm after morphine sedation.

AbstractPURPOSE:
To describe a patient with probable choledochal sphincter spasm after preoperative morphine, and to suggest a history of cholecystectomy as a predisposing factor.
CLINICAL FEATURES:
A 60 yr old man for femoral-popliteal artery bypass grafting developed right upper quadrant abdominal pain after preoperative morphine and scopolamine. He had a previous cholecystectomy. His pain was relieved with naloxone.
CONCLUSION:
Choledochal sphincter spasm should be part of a differential diagnosis in right upper quadrant pain after sedative doses of morphine, especially if there is a previous cholecystectomy.
AuthorsA M Ho
JournalCanadian journal of anaesthesia = Journal canadien d'anesthesie (Can J Anaesth) Vol. 47 Issue 1 Pg. 50-2 (Jan 2000) ISSN: 0832-610X [Print] United States
PMID10626719 (Publication Type: Case Reports, Journal Article)
Chemical References
  • Hypnotics and Sedatives
  • Morphine
Topics
  • Cholecystectomy (adverse effects)
  • Common Bile Duct Diseases (etiology)
  • Humans
  • Hypnotics and Sedatives (adverse effects)
  • Male
  • Middle Aged
  • Morphine (adverse effects)
  • Spasm (etiology)

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