Laparoscopic cholecystectomy is a safe and common procedure, but it can be associated with some complications. These complications may occur during the surgery or in the following days or weeks. We will highlight some complications or risks of laparoscopic cholecystectomy through three clinical images while explaining the preventive measures [1,2].
61-year-old man suffered an electric shock at a low voltage alternant current while repairing electrical wiring at work. The patient was admitted to regional hospital and after stabilizing his healthy status and regaining consciousness, he was transferred to our workplace. On admission, the patient was conscious, on the head there were an entrance and exit wounds in left frontotemporal and frontoparietal regions of IIIIVth degree electric current burns, a sutured linear wound. Necrectomy of deep burns by electric current on the head in the frontoparietal area on the left side as well as the frontotemporal area on the left, including part of the left upper eyelid and eyebrow, was performed under general anesthesia. Tangential removal of pathologically changed parts of the frontal bone, the lateral edge of the orbit, M.Orbicularis OC.l.Sin, m. temporalis was performed. The defect of soft tissue in the left temporoparietal area was solved by reconstructive surgery. rotational: 1 fasciocutaneous and 1 musclecutaneous flap. Defect in the left frontoparietal area was solved by a rotational fasciocutaneous flap from the biparietal area. In postoperative course necrotic tip of the flap near left lateral eyedge was solved by local plasty respectivelly skin grafting. After this the healing of the wounds was continued and finished and the patient was discharged from our workplace after 20 days of hospitalisation.
Agenesis of the gallbladder is a rare congenital anomaly. The aim of this study is to explore, through the case we present, the epidemiological aspects of this anomaly as well as the specificities of diagnosis and therapeutic management. The patient is a 35-year-old individual with no significant medical history, who presented with hepatic colic and an ultrasound showing a sclerotic and atrophic gallbladder. A laparoscopic cholecystectomy was indicated. Intraoperatively, the gallbladder was not visualized, even after examining various ectopic sites for the gallbladder.
Small bowel obstruction secondary to ingested fish bone is an exceedingly rare occurrence, particularly among the elderly, accounting for less than 1% of cases necessitating surgical intervention. This article reports a case of an 84-year-old male who presented with acute abdominal pain and bilious vomiting for seven days after accidentally swallowing a fish bone. Computed Tomography (CT) of the abdomen and pelvis indicated sub-acute bowel obstruction, revealing a linear foreign body in the jejunum with a focal collection. An emergency exploratory laparotomy uncovered a pocket of pus containing the fish bone in the mesentery of the jejunum, with evidence of perforation at approximately 150 cm distal to the duodenojejunal flexure.
Malignant Obstructive Jaundice (MOJ) is typically caused by malignant tumors of hepatopancreatic biliary origin and less frequently by metastatic primary malignancies of non-hepatopancreatic biliary origin. MOJ is associated with an unusually high risk of malnutrition. Therefore, effective screening of nutritional status is especially important for early detection of MOJ. We recommend the indocyanine green retention test combined with the nutritional risk screening for assessment and dynamic real-time monitoring of nutritional status to improve the treatment outcomes of MOJ patients.
