Assuntos
Aneurisma/complicações , Vesícula Biliar/irrigação sanguínea , Hemobilia/etiologia , Idoso , Idoso de 80 Anos ou mais , Aneurisma/cirurgia , Artérias/cirurgia , Colecistectomia , Hemobilia/cirurgia , Humanos , Masculino , Ruptura Espontânea , Tomografia Computadorizada por Raios X , UltrassonografiaRESUMO
As long as long-term observations of operated and nonoperated patients with silent gallstones are missing, the question of general, differentiated or absent indication for operation in such cases cannot be answered by facts. To day only by 20% of people with gallstones are operated. 50-70% of those with silent gallstones probably remain free of complaints and symptoms during life. Each case of symptomatic cholelithiasis must be operated as soon as possible, but a general indication for operation of really silent gallstones cannot be advocated.
Assuntos
Colelitíase/cirurgia , Colecistectomia , Colelitíase/diagnóstico , Colelitíase/mortalidade , Humanos , Complicações Pós-Operatórias/mortalidade , RiscoAssuntos
Neoplasias dos Ductos Biliares/cirurgia , Ductos Biliares Intra-Hepáticos/cirurgia , Colestase Extra-Hepática/cirurgia , Colestase Intra-Hepática/cirurgia , Drenagem/métodos , Hepatectomia/métodos , Ducto Hepático Comum/cirurgia , Humanos , Jejuno/cirurgia , Cuidados Paliativos , Técnicas de SuturaRESUMO
This article reports the case of a patient who sustained an injury of the intercostal artery after a vena subclavia aspiration with extensive haemothorax. After thoracotomy, haemostatic treatment, respiratory therapy, intensive care and a prolonged hospital stay the female patient was discharged with a clean bill of health.
