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- Title
Late dumping syndrome preceded by Coxsackievirus B4 infection and cholecystectomy.
- Authors
Weiss, Joshua; Fewel, Connor; Akinrinade, Oyediran; Harrington, Jane
- Abstract
A 44-year-old female patient presented with weight loss, diarrhea and intermittent episodes of left upper quadrant (LUQ) pain lasting for 3 years, accompanied by acute episodes of focal LUQ pain, dizziness, tachycardia, borborygmi and bloating, occurring approximately 60 min after meals. The patient developed chronic acalculous cholecystitis and transient exocrine pancreatic insufficiency after infection with Coxsackievirus B4 (CVB4), which resolved following laparoscopic cholecystectomy 2 years before the current presentation. Although imaging and functional investigation studies were unremarkable, a gastric transit study revealed rapid clearance of radiolabeled food, and the patient's symptomatology and gastrointestinal studies supported the diagnosis of late dumping syndrome. The patient's symptoms significantly improved with adherence to recommended dietary changes, including an increase in protein intake, abstinence from simple carbohydrates and avoidance of simultaneous consumption of beverages with food, following consultation with a dietitian.
- Subjects
CHOLECYSTITIS; CHOLECYSTECTOMY; EXOCRINE pancreatic insufficiency; BEVERAGE consumption; ACALCULOUS cholecystitis; SYNDROMES; FOOD consumption
- Publication
Journal of Surgical Case Reports, 2023, Vol 2023, Issue 4, p1
- ISSN
2042-8812
- Publication type
Case Study
- DOI
10.1093/jscr/rjad205