Presentation
The patient presented with a mass at the site of epigastric port 28 months after surgery. [ncbi.nlm.nih.gov]
Entire Body System
- Falling
Despite progress in laparoscopic surgery and increasing surgical experience, the incidence of bile duct injury during laparoscopic cholecystectomy fails to fall below 0.3%-0.6% and it is still higher than those recorded in the era of open cholecystectomy [ncbi.nlm.nih.gov]
They typically fall off within two weeks of surgery. You may gently shower 24 hours after surgery, trying not to remove the Steri-Strips. You may take a bath 14 days after surgery. [austinsurgeons.net]
Over time, this structure becomes necrotic, and the clips fall away into the common bile duct where they can then act as a nidus for gallstone formation. The time scale for this pathophysiological process can vary. [academic.oup.com]
Prevent falls by calling someone when you get out of bed or if you need help. Ask for information about where and when to go for follow-up visits: For continuing care, treatments, or home services, ask for more information. [drugs.com]
- Epilepsy
CASE REPORT A 42-year-old male with a history of cerebral palsy, learning difficulties and epilepsy was admitted with a 24-h history of nausea, vomiting and abdominal pain. [academic.oup.com]
Epilepsy Res 1998; 29:233–49Taylor, CP Gee, NS Su, TZ Kocsis, JD Welty, DF Brown, JP Dooley, L Boden, P Singh, L Fassoulaki A, Patris K, Sarantopoulos C, Hogan Q: The analgesic effect of gabapentin and mexiletine after breast surgery for cancer. [anesthesiology.pubs.asahq.org]
- Cerebral Palsy
CASE REPORT A 42-year-old male with a history of cerebral palsy, learning difficulties and epilepsy was admitted with a 24-h history of nausea, vomiting and abdominal pain. [academic.oup.com]
Gastrointestinal
- Vomiting
BACKGROUND: The aim of this study is to assess the effect of sugammadex on postoperative nausea and vomiting (PONV) in patients undergoing laparoscopic cholecystectomy. [ncbi.nlm.nih.gov]
Nausea and vomiting may occur after the surgery. Injury to the bile ducts, blood vessels, or intestine can occur, requiring corrective surgery. [brisbanebariatrics.com.au]
Cardiovascular
- Hypertension
She had a surgical history for endometrial cancer, and she was taking amlodipine 2.5 mg/day for hypertension. A preoperative colonoscopy for screening revealed an 18-mm endoluminal tumor in the sigmoid colon. [ncbi.nlm.nih.gov]
Liver was non cirrhotic and there was no portal hypertension. A portal vein Doppler showed extensive cavernoma with normal hepato-portal flow in collaterals. [omicsonline.org]
Psychiatrical
- Fear
She avoids eating for fear of inducing the pain. She has occasional chills but no fever, nausea, vomiting, jaundice, or changes in urine or stool color. [mdedge.com]
Workup
The patient's deficits slowly resolved, and she was ultimately diagnosed with familial hemiplegic migraine after a negative workup for cerebrovascular accidents. [ncbi.nlm.nih.gov]
Medically unstable conditions warranting further evaluation include: Well-documented coronary heart disease associated with angina after strenuous exercise usually does not need any additional preoperative workup. [clinicalpainadvisor.com]
Microbiology
- Gram-Positive Bacteria
Staphylococcus aureus was isolated in five patients (71.4%) and miscellaneous aerobic gram-positive bacteria in two subjects (28.6%). [ncbi.nlm.nih.gov]
Treatment
After nearly 8 months of treatment, the patient recovered and then was discharged. [ncbi.nlm.nih.gov]
Prognosis
In the absence of cirrhosis and neoplasia, portal cavernoma is usually asymptomatic until the first variceal bleeding and has a better prognosis [ 5 ]. Intestinal ischemia or portal biliopathy may rarely develop. [omicsonline.org]
[…] of surgery after adequate control of pain and nausea. [31] Patients who were high-risk, those who required emergency surgery, and/or those undergoing open cholecystectomy usually need to stay in the hospital several days after surgery. [15] Long-term prognosis [en.wikipedia.org]
Etiology
He developed a postoperative left brachial vein thrombus of unclear etiology, possibly related to dantrolene administration or his underlying susceptibility to MH. [ncbi.nlm.nih.gov]
However, our understanding of the etiology of this disease, as well as the availability of effective medical therapies, have remained subst- tially unchanged over time. [books.google.ro]
"TG13 current terminology, etiology, and epidemiology of acute cholangitis and cholecystitis". Journal of Hepato-Biliary-Pancreatic Sciences. 20 (1): 8–23. doi : 10.1007/s00534-012-0564-0. [en.wikipedia.org]
Seizure disorders Seizures are associated with anatomic and metabolic conditions and it is important to determine the type of disorder and its etiology preoperatively. Antiepileptic drugs must not be interrupted during the perioperative period. [clinicalpainadvisor.com]
Epidemiology
Rome Group for the Epidemiology and Prevention of Cholelithiasis (GREPCO). Am J Epidemiol. 1984; 119:796-805. Patino JF, Quintero GA. – Asyptomatic Cholelitiasis Revited. World J Surg. 1998; 22:1119-24. [revistas.unifoa.edu.br]
"TG13 current terminology, etiology, and epidemiology of acute cholangitis and cholecystitis". Journal of Hepato-Biliary-Pancreatic Sciences. 20 (1): 8–23. doi : 10.1007/s00534-012-0564-0. [en.wikipedia.org]
Pathophysiology
The exact pathophysiological process by which this occurs is not clearly understood but is thought to involve involution of the cystic duct with the attached clip into the lumen of the common bile duct as a consequence of compression by local structures [academic.oup.com]
Pulmonary pathophysiology. The essentials, pp. 1 [24.] M.D. Altose, R.O. Crapo, A. Wanner The determination of static lung volumes Chest, 86 (1984), pp. 471-489 [25.] P.H. Quanjer, G.J. Tammeling, J.E. Cotes, O.F. Pedersen, R. Peslin, J.C. [archbronconeumol.org]
"Definitions, pathophysiology, and epidemiology of acute cholangitis and cholecystitis: Tokyo Guidelines". Journal of Hepato-Biliary-Pancreatic Surgery. 14 (1): 15–26. doi : 10.1007/s00534-006-1152-y. PMC 2784509. [en.wikipedia.org]
The increased incidence of postoperative pulmonary complications in patients with COPD is caused by the combination of the pulmonary pathophysiology and comorbidities, often cardiac disease. [clinicalpainadvisor.com]
Ann Surg 2003; 238:661–2Callery, MP Holte K, Kehlet H: Perioperative single dose glucocorticoid administration: Pathophysiological effects and clinical implications. [anesthesiology.pubs.asahq.org]
Prevention
No valuable data for BDI prevention or detection could be retrieved, even if no BDI was documented in the reports analyzed. [ncbi.nlm.nih.gov]