Management of Intra-Abdominal Biloma in the Setting of Chronic Steroid Use for Nephrotic Syndrome
Workup included a noncontrast CT scan of the abdomen which revealed a large intra-abdominal fluid collection measuring 25 x 11 x 28 cm with no definitive visualization of the gallbladder. [...]evaluation with magnetic resonance cholangiopancreatography endoscopic retrograde cholangiopancreatography...
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Veröffentlicht in: | The American surgeon 2018-04, Vol.84 (4), p.156-157 |
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description | Workup included a noncontrast CT scan of the abdomen which revealed a large intra-abdominal fluid collection measuring 25 x 11 x 28 cm with no definitive visualization of the gallbladder. [...]evaluation with magnetic resonance cholangiopancreatography endoscopic retrograde cholangiopancreatography (ERCP) (Fig. 2), and drain studies indicated that this was a biloma suspected secondary to a fistulous communication with the gallbladder. Intraoperatively, dense inflammation with poor definition of anatomical planes necessitated subtotal cholecystectomy to prevent damage to portal structures, including the common bile duct. |
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[...]evaluation with magnetic resonance cholangiopancreatography endoscopic retrograde cholangiopancreatography (ERCP) (Fig. 2), and drain studies indicated that this was a biloma suspected secondary to a fistulous communication with the gallbladder. 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subjects | Abdomen Cholecystectomy Fistula Gallbladder Gallbladder diseases Kidney diseases Malnutrition Medical imaging Nephrotic syndrome Sepsis |
title | Management of Intra-Abdominal Biloma in the Setting of Chronic Steroid Use for Nephrotic Syndrome |
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