ABSTRACT
Endoscopic management of post cholecystectomy biliary leak is described in a 56-year-old patient who developed a cystic duct leak following open cholecystectomy
Subject(s)
Humans , Middle Aged , Stents , Cholecystectomy/adverse effects , Biliary Tract Diseases/therapy , Cholangiopancreatography, Endoscopic Retrograde/methods , Cholelithiasis/surgery , Biliary Tract Diseases/etiology , Drainage/instrumentation , Drainage/methodsABSTRACT
We describe a female diabetic patient who presented with features suggestive of hepatobiliary disease and who exhibited clinical signs of fulminant hepatic failure. Identification and drainage of a right perinephric abscess resulted in prompt resolution of both the physical signs and biochemical indices of liver disease. Infection remote from the hepatobiliary tree can mimic fulminant hepatic failure, and recognition of this unusual presentation of infection is important if dangerous delay in diagnosis and treatment is to avioded.
Subject(s)
Humans , Adult , Female , Hepatic Encephalopathy/etiology , Abscess/microbiology , Kidney Diseases/microbiology , Hepatic Encephalopathy/drug therapy , Diabetes Mellitus/complications , Diagnosis, Differential , Jaundice/etiologyABSTRACT
Advanced Trauma Life Support (ATLS) training of medical staff did not improve outcome of the trauma victim. Potential benefit of this course may have been masked by weak links in the trauma care chain such as pre-hospital care and in hospital investigative and therapeutic facilities.
Subject(s)
Traumatology/education , Accidents, Traffic/mortality , Education, Medical, Continuing , Life Support Care , Trinidad and Tobago , Emergency Medical ServicesABSTRACT
A severely pre-eclamptic patient developed peripartum cardiomyopathy and bilateral femmoral emboli. Medical therapy for cardiac failure was commenced prior to delivery by Caesarean Section. Bilateral femoral embolectomy was performed on the sixth postpartum day.