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Ulcerated choledochocele: A case report

View Article: PubMed Central - PubMed

ABSTRACT

Upper gastro-intestinal endoscopy is part of diagnostic work-up for massive bleeding per rectum.

A positive ‘pillow sign’ in a mass in the region of the ampulla of Vater may be a choledochocele.

Cyst excision and marsupialization is the definitive treatment for a choledochocele.

Laparoscopic adhesiolysis is useful in adhesive small bowel obstruction.

Laparoscopic adhesiolysis is useful in adhesive small bowel obstruction.

No MeSH data available.


Related in: MedlinePlus

Laparoscopy showing small bowel adhesions.
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fig0015: Laparoscopy showing small bowel adhesions.

Mentions: His immediate post-operative period was uneventful. Sutures were removed on the 7th day and patient was discharged home in stable clinical condition. On the 9th post op day patient came back with severe colicky abdominal pains and vomiting of recently ingested feed. Following relevant clinical and laboratory investigations an impression of adhesive small bowel obstruction was made. An urgent laparoscopy was performed with primary access in the mid clavicular line of the left subcostal region-Palmer’s point. Capnoperitoneum was established and optical port inserted through this point. It revealed multiple small bowel and omental adhesions to the post-aspect of the anterior abdominal wall along the midline laparotomy incision. A secondary port was inserted under direct vision in the left lumbar area and adhesiolysis was successfully performed (Fig. 3).


Ulcerated choledochocele: A case report
Laparoscopy showing small bowel adhesions.
© Copyright Policy - CC BY-NC-ND
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC5037116&req=5

fig0015: Laparoscopy showing small bowel adhesions.
Mentions: His immediate post-operative period was uneventful. Sutures were removed on the 7th day and patient was discharged home in stable clinical condition. On the 9th post op day patient came back with severe colicky abdominal pains and vomiting of recently ingested feed. Following relevant clinical and laboratory investigations an impression of adhesive small bowel obstruction was made. An urgent laparoscopy was performed with primary access in the mid clavicular line of the left subcostal region-Palmer’s point. Capnoperitoneum was established and optical port inserted through this point. It revealed multiple small bowel and omental adhesions to the post-aspect of the anterior abdominal wall along the midline laparotomy incision. A secondary port was inserted under direct vision in the left lumbar area and adhesiolysis was successfully performed (Fig. 3).

View Article: PubMed Central - PubMed

ABSTRACT

Upper gastro-intestinal endoscopy is part of diagnostic work-up for massive bleeding per rectum.

A positive ‘pillow sign’ in a mass in the region of the ampulla of Vater may be a choledochocele.

Cyst excision and marsupialization is the definitive treatment for a choledochocele.

Laparoscopic adhesiolysis is useful in adhesive small bowel obstruction.

Laparoscopic adhesiolysis is useful in adhesive small bowel obstruction.

No MeSH data available.


Related in: MedlinePlus