RESUMO
Bile duct injuries are well-known complications of laparoscopic and open cholecystectomies. Here, we report anastomosis of the common bile duct to the transverse colon that occurred as a complication of laparoscopic cholecystectomy. To the best of our knowledge, a similar case has not been reported in the literature so far. As in our patient, persistent diarrhea (in addition to fever and icterus) can be a warning sign of complication after these procedures. Surgeons who do advanced laparoscopic techniques must be familiar with this complication.
Assuntos
Doenças dos Ductos Biliares/cirurgia , Colecistectomia Laparoscópica/efeitos adversos , Ducto Colédoco/cirurgia , Diarreia/etiologia , Febre/etiologia , Complicações Pós-Operatórias , Idoso , Anastomose Cirúrgica/efeitos adversos , Colangiopancreatografia por Ressonância Magnética , Diagnóstico Diferencial , Diarreia/diagnóstico , Febre/diagnóstico , Humanos , MasculinoRESUMO
Actinomycosis is a chronic and suppurative infection caused by an endogenous Gram-positive bacterium. The usual sites of infection are the head and neck, thorax, and abdomen. Primary cutaneous actinomycosis is very rare and usually associated with external trauma and local ischemia. We report on the case of a primary cutaneous actinomycosis of the thigh in a 34-year-old man. The patient was treated successfully with surgical resection and combined antibiotic therapy, and eventually cutaneous reconstructive surgical procedure.
