EXACERBATION OF CHRONIC CHOLECYSTITIS UNDER THE MASK OF PAIN FORM OF OSTEOCHONDROSIS OF THE THORACIC SPINE


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Gallstone disease - one of the most common human diseases, it ranks third after cardiovascular disease and type 2 diabetes. In Russia the incidence of this condition is 12%. According to the literature over the past decade a doubling of the proportion of patients diagnosed with cholelithiasis has been seen. The literature describes a number of "masks" of the flow of the disease, it is noted that 10% of carriers of gallstones have no clinical manifestations of the disease. The present clinical case demonstrates the complexity of the diagnosis in the case of polymorbidity when "screening" disease (dorsalgia), dominates the clinical picture and is confirmed by instrumental methods of diagnosis, for a long time masks progression of the other disease (gallstone disease), leading to complications.

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作者简介

Grigoriy ROITBERG

N.I. Pirogov Russian National Research Medical University

academician of Russian Academy of Sciences, MD, Professor, Head of the Department of Therapy and Family Medicine of the Faculty of Additional Professional Education

Janna DOROSH

N.I. Pirogov Russian National Research Medical University

Email: jdorosh@yandex.ru
PhD, Associate Professor of Department of Therapy and Family Medicine of the Faculty of Additional Professional Education

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