Jaundice of mixed genesis treatment: a case report
Journal Title: Хірургія України - Year 2019, Vol 0, Issue 1
Abstract
As the number of patients in whom the leading disease syndrome is jaundice continues to increase, the issues of their differential diagnosis, the surgery extension choice (if necessary), rational conservative therapy in the postoperative period remain relevant. A case report of treating management in patient with jaundice of mixed genesis, who was hospitalized in the surgical department with yellowish skin and sclera, complaints of nausea and heartburn, is given. The chronic calculous cholecystitis, choledocholithiasis, acute obstructive jaundice was diagnosed in patient. A planned surgical intervention included upper-median laparotomy, cholecystectomy, intraoperative cholangiography, choledochotomy, Holsted choledochal drainage, and subhepatic space drainage was performed. In the postoperative period the jaundice despite adequate functioning of the choledochal drainage attracted attention. Serological tests revealed antibodies to yersiniosis and pseudotuberculosis. Against the background of therapy, taking into account the recommendations of related specialists, the general somatic condition has improved. Total bilirubin levels have progressively decreased. The patient was discharged with recommendations in a relatively satisfactory condition. In our opinion, this clinical example illustrates the complexity of jaundice syndrome and proves how difficult it is sometimes to differentiate the diagnosis of diseases, the leading syndrome of which is jaundice, and how important it is to identify the appropriate pathology in a timely manner and choose the right therapeutic approach.
Authors and Affiliations
K. Yu. Parkhomenko, K. E. Payunov, A. G. Drozdova, O. V. Vinnichenko, M. V. Suplichenko
Keywords
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- EP ID EP566441
- DOI 10.30978/SU2019-1-80
- Views 117
- Downloads 0
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