Young male with fall from 3rd floor during construction...
hemoperitoneum, with mild distension of abdomen
hemodynamically stable. Hb 10, pulse 90bpm, BP: 110/70 on day 3.
day 4 started high grade fever with increased distension and septic look.
usg and
diagnostic taping done on day 3 s/o bile
surgery: exploratory laparotomy done and biliary peritonitis found.. lavage draingae..cholecystectomy and intra-op cholangiogram done s/o biliary leak from the laceration of segment 6.
drain kept inside and multiple drains in abdomen. + biliary stenting done with 7 x 10 fr stent.
patient discharged on OPD 9 with controlled biliary fistula draining 5-10 ml bile/day in drain.. hemodynamically stable and on normal diet.
www.gisurgerysurat.com
www.sidshospital.com
You Tube : Dr Keyur Bhatt
hemoperitoneum, with mild distension of abdomen
hemodynamically stable. Hb 10, pulse 90bpm, BP: 110/70 on day 3.
day 4 started high grade fever with increased distension and septic look.
usg and
diagnostic taping done on day 3 s/o bile
surgery: exploratory laparotomy done and biliary peritonitis found.. lavage draingae..cholecystectomy and intra-op cholangiogram done s/o biliary leak from the laceration of segment 6.
drain kept inside and multiple drains in abdomen. + biliary stenting done with 7 x 10 fr stent.
patient discharged on OPD 9 with controlled biliary fistula draining 5-10 ml bile/day in drain.. hemodynamically stable and on normal diet.
www.sidshospital.com
You Tube : Dr Keyur Bhatt
Dr. Keyur Bhatt - Best
Gastro Surgeon
Dr. Keyur Bhatt- Best GI
Surgeon
Dr. Keyur Bhatt - Best
Gastro Surgeon
Dr. Keyur Bhatt- Best GI
Surgeon - Dr Keyur Bhatt - Best Gastro Surgeon
