Fatemeh Tara - Professor, Department of Obstetrics and Gynecology, Mashhad University of Medical Sciences, Faculty of medicine, Mashhad, Iran
Atiyeh Mohammadzade Vatanchi - Assistant Professor, Department of Obstetrics and Gynecology, Mashhad University of Medical Sciences, Faculty of Medicine, Mashhad, Iran
Leila Pourali - Assistant Professor, Department of Obstetrics and Gynecology, Mashhad University of Medical Sciences, Faculty of Medicine,Mashhad, Iran
Atefe Alamtian - Resident of Obstetrics and Gynecology, Mashhad University of Medical Sciences, Faculty of Medicine, Mashhad, Iran

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 34-year-old 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.

Acalculous cholecystitis, Cholecystitis, Hyperemesis gravidarum