Soma datta, relative of p r datta was operated by me . Open cholecystectomy done. She was alright for 4 days. She was discharged. On that evening she developed severe pain in back, vomiting, mild icterus. I was in bmch,. Immediate usg done. No peritoneal collection. Cbd was dialated. 9 mm. Abhijit suspected some pathology low down the ampulla. Bilirubin was 4.6. mg. She was brought to bmch. Apparently there was no clinical icterus. Urine colour also became lighter. She is having nausea. LFT, CBC, mrcp was advised. She is put on nbm. Iv fluid, antibiotic. Results are awaited. Tense moments for me.
What went wrong?
Donot know.
Good things...
1. Operation was un eventful,
2. Usg... Negative
3. Clinically not much icterus.
4. Abd soft.
5. Passing flatus.
Should respond on conservative management.
Supposed to go to kolkata tomorrow
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