Presentation
The patient presented with a mass at the site of epigastric port 28 months after surgery. [ncbi.nlm.nih.gov]
Entire Body System
- Swelling
increasing pain, pus, or a foul smell at the incision site Dark or rust-colored urine Stool that is clay-colored or light in color instead of brown Increasing belly pain Rectal bleeding Leg swelling or shortness of breath [saintlukeshealthsystem.org]
If left untreated, gallstones may block the flow of bile and cause more swelling, infection, and abdominal pain. In a laparoscopic cholecystectomy, small incisions (cuts) are made in your abdomen. [drugs.com]
Risk factors: Female Prior pregnancy Over 40 years Overweight Family History These stones may block the flow of bile out of the gallbladder, causing it to swell and resulting in sharp abdominal pain, vomiting, indigestion and, occasionally, fever. [dssurgery.com]
[…] doctor Please call the Division of Pediatric General, Thoracic and Fetal Surgery at 215-590-2730 if your child has any of the following symptoms: Fever (a temperature of 101.5 degrees or higher) Increase in pain Any signs of infection, including redness, swelling [chop.edu]
[…] pain, cramping, or swelling No bowel movement or gas for 3 days Pain behind your breastbone [hopkinsmedicine.org]
- Fatigue
Make an office visit to talk to your healthcare provider if the following symptoms don’t go away within a week after your surgery: Fatigue Pain around the incision Diarrhea or constipation Loss of appetite When to call your healthcare provider Call your [saintlukeshealthsystem.org]
Thorup Pulmonary function, pain, and fatigue after laparoscopic cholecystectomy Eur J Surg, 159 (1993), pp. 361-364 [15.] N. Rovina, D. Bouros, N. Tzanakis, M. Velegrakis, S. Kandilakis, F. [archbronconeumol.org]
The clinical implications of pain relief and opioid-sparing effects (quality of recovery, nausea and vomiting, general well-being, patient's satisfaction, sleep, dizziness, fatigue, and duration of convalescence) should be further assessed. [anesthesiology.pubs.asahq.org]
- Anemia
A 77-year-old woman presented with distended abdomen, tenderness in the left upper quadrant and severe anemia 12 hours after LC. Clinical examination revealed hypovolemic shock. [ncbi.nlm.nih.gov]
Hemoglobin The prevalence of anemia on routine preoperative screening is in the range of 1.8%. In older patients, this incidence is 4%-9%. [clinicalpainadvisor.com]
- Weakness
You have chills, a cough, or feel weak and achy. You have nausea (upset stomach) or vomiting (throwing up). Your bandage becomes soaked with blood. Your skin is itchy, swollen, or has a rash. [drugs.com]
Neurologic
- Confusion
This pain can sometimes radiate to the back and can be confused with gallbladder pain during the early post-operative period. This usually resolves after 5-7 days and can be treated with a local heating pad. [austinsurgeons.net]
Though I have attempted to keep the language of these pages appropriate for the lay person, I understand that the issues discussed herein may be complicated and confusing at times. [njsurgery.com]
Achieving a CVS prevents the misidentification of the cystic duct and the common bile duct, which are most commonly confused. Free full articles and mobile app of TG18 are available at: http://www.jshbps.jp/modules/en/index.php?content_id=47. [ncbi.nlm.nih.gov]
It is normal for a patient to feel uncomfortable and confused with a sudden inflow of information regarding Gallbladder Removal by Laparoscopy surgical procedure and what needs to be done If the patient needs further reassurance or a second opinion, a [dovemed.com]
- Somnolence
[…] given at the end of surgery. 27 The valuable analgesic properties of opioids in the treatment of acute, intense postoperative pain after major and minor surgery are well accepted. 57 However, to hasten recovery and minimize opioid-related side effects (somnolence [anesthesiology.pubs.asahq.org]
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]