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Percutaneous nephrolithotripsy (PCNL) is an effective therapeutic approach in cases of lithiasis, which is prone to complications. In this report we present a case of a 52-year-old female patient with recurrent episodes of lithiasis and, after PCNL, evolution with pain and abdominal distension on the 2nd post-operative day due to a perforation of the gallbladder. An exploratory laparotomy was performed, leading to clinical improvement, and the patient was discharged from the hospital on the 7th day after resolving the choleperitoneum.
View Article and Find Full Text PDFA life-threatening complication of biliary peritonitis following T-tube removal: A case report and review of literature.
Ann Med Surg (Lond)
August 2022
Department of Surgery, Shree Birendra Hospital, Chhauni, Kathmandu, 44600, Nepal.
Introduction And Importance: The purpose of T-tubes is to induce inflammation around it in the common bile duct, forming a fibrous tract for drainage of bile. The leakage of bile into the peritoneum is a drastic complication following T-tube removal. A provisional diagnosis of choleperitoneum is established in the presence of persistent pain with guarding and rigidity.
View Article and Find Full Text PDFCholeperitoneum secondary to isolated subserosal gallbladder injury due to blunt abdominal trauma - A case report.
Trauma Case Rep
October 2022
Hospital Municipal Dr. José de Carvalho Florence, General Surgery Department, São José dos Campos, 12220-280 São Paulo, Brazil.
When dealing with rare traumatic injuries, surgeons might have difficulty diagnosing them and choosing the most appropriate management when no consensus exist on the best course of action. In such circumstances, drawing on the experience of colleagues can be of great value. Traumatic injuries of the gallbladder are unusual and might not be readily identifiable neither in imaging studies nor during surgery.
View Article and Find Full Text PDFBilothorax Associated with Bile Peritonitis in a Dog with No Diaphragmatic Disruption: A Case Report.
Top Companion Anim Med
August 2020
Department of Clinical Studies, School of Veterinary Medicine, AUT, Greece.
A 4-year-old intact male mixed-breed dog was presented with vomiting and severe depression of 6-day duration after being struck by a car 2 weeks before presentation. Clinical examination revealed hypothermia, respiratory difficulty, jaundice, and a bicavitary (pleural and peritoneal) effusion. Hematological and biochemical abnormalities included neutrophilic leukocytosis, increased total bilirubin concentration, and increased serum lipase activity.
View Article and Find Full Text PDFCystic Duct Bile Leak in Graft: An Unexpected Origin for Choleperitoneum After Liver Transplant.
Exp Clin Transplant
October 2020
>From the Division of Hepatobiliary Surgery and Liver Transplant, Department of Surgery, Ramón y Cajal University Hospital, Madrid, Spain.
From the beginning of liver transplant implementation, biliary anastomosis has been considered its weakness. An anastomotic bile leak is the most frequent cause of bile in the peritoneum (choleperitoneum) after liver transplant but not the only one. Here, we report a 58-year-old man with hepatitis C virus-related cirrhosis who had orthotopic liver transplant due to presence of hepatocellular carcinoma.
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