Topic_ Week 4_ Digestive and Urinary Systems Case Studies 1.pdf - 1 The patient Bernard Collins\u2019 preoperative diagnosis was acute cholecystitis which

Topic_ Week 4_ Digestive and Urinary Systems Case Studies 1.pdf

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1. The patient, Bernard Collins’, preoperative diagnosis was acute cholecystitis which is minor inflammation of the gallbladder. Doctors decided to do a laparoscopic cholecystectomy, which is the surgical removal of the gallbladder using a camera that is inserted through a small tube placed in your abdomen. A laparoscopic surgery allows doctors to use multiple smaller incisions as opposed to one large incision. When the dissection was being done down to the level of the gallbladder neck/cystic duct junction, the inflammation of the tissue around this region was so severe that it made it impossible to safely dissect that area. Therefore, the surgery was converted from laparoscopic to open cholecystectomy. During the surgery, doctors found a partially gangrenous, dead tissue due to infection or lack of blood flow, but mostly inflamed gallbladder with up to 1 cm thick gallbladder wall and multiple (greater than 50-100) small stones, each measuring approximately 2-4 mm.
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  • Spring '19
  • Rousse, Justin R.
  • Prostate cancer

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