acalculous cholecystitis presenting as intractable hyperemesis during pregnancy: a case report

Nausea and vomiting manifest in more than 50% of pregnancies; in case of severe nausea and vomiting during pregnancy, or hyperemesis gravidarum, other diagnoses should be considered. this case report details a 34yearold pregnant woman with diabetes whose primary symptom was nausea and vomiting; she presented with mild abdominal pain without abdominal tenderness. after hospital admission, she was treated as a case of hyperemesis. sonography revealed acalculous cholecystitis, necessitating laparoscopic cholecystectomy that led to resolution of her condition. as hyperemesis is a diagnosis always arrived at by ruling out other possibilities, a complete physical examination should be performed and other patient symptoms must be considered in pregnant women with this disorder.