Wednesday, July 6, 2016

Jandiced gallblader pt

15 days ago I operated on one gb patient. It was a difficult gall bladder . I managed to do partial cholecystectomy. Patient was passing yellow urine from day one. She developed jaundice on on 4th post op day. On enquiry she revealed that she use to have recurrent jaundice for last 6 years. But I was worried. I thought that I might have caused bile duct injury. Patient was discharged on 5th post op day. She returned on 8th post op day with deep icterus and vomiting. I gave some med and advised her to go to BMCH for admission under me. She refused. She went home.  I was worried very much. She came after 7 days. Now she had no jaundice .PT is alright. Her bilirubin was              .8mg.  i was delighted. I knew that there was no BDI. But there is certainly having cbd stones . I told her accordingly. ANd she went home.

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