A false alarm and a misleading preoperative assessment
Posted on: June 10, 2023
A 50 years old female was reportedly operated for cholecystectomy – an open operation, which was reportedly abandoned due to adhesions, as per the relatives’ version as there was no medical record available. However, a trial of laparoscopic approach was found to be quite easy and unremarkable. Possibly the operator was a beginner.
11.1.23
Another 50 years old lady had been having repeated scans (US and MRCP) reporting a contracted gallbladder with stones. The MRCP report also mentioned an ‘indentation’ on the main bile duct, suggesting pressure by a stone. At lap chole, the gallbladder was actually of normal size, albeit packed tightly with stones. The Calot’s dissection was difficult due to these stones, and the short cystic duct, dissected with difficulty, was ligated with no 1 vicryl.
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