• Can J Anaesth · Jan 2000

    Case Reports

    Previous cholecystectomy and choledochal sphincter spasm after morphine sedation.

    • A M Ho.
    • Department of Anaesthesia and Intensive Care, Prince of Wales Hospital and Faculty of Medicine, The Chinese University of Hong Kong, Shatin, NT, PRC. hoamh@hotmail.com
    • Can J Anaesth. 2000 Jan 1; 47 (1): 50-2.

    PurposeTo describe a patient with probable choledochal sphincter spasm after preoperative morphine, and to suggest a history of cholecystectomy as a predisposing factor.Clinical FeaturesA 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.ConclusionCholedochal 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.

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