Post-operative ascites of unknown origin after laparoscopic cholecystectomy : Case report

© 2022 The Authors..

Introduction and importance: Post Laparoscopic cholecystectomy ascites is a rare complication that might be due to biliary leak, lymph duct injuries, infections, peritoneal reaction bowel injuries, malignancies and etc.

Case presentation: Here we have reported post-cholecystectomy ascites presented with hypovolemic shock in a women of unknown origin. Different possible etiologies have been ruled out for her but her intra-peritoneal secretions had been decreased about one week of hospitalization and was discharged without figuring out its etiology.

Clinical discussion: Post-cholecystectomy ascites is a rare condition that could be caused by biliary leak, lymphatic leak, ovarian hyper stimulation syndrome, infections, peritoneal reactions and malignancies that all of them should be considered for these patients to manage their problem.

Conclusion: The exact cause of ascites in the presented case was still unknown and the condition was controlled by administration of corticosteroids, octreotide, albumin, and insertion of the stents in biliary ducts. More investigation esp. on immunologic causes are needed.

Medienart:

E-Artikel

Erscheinungsjahr:

2022

Erschienen:

2022

Enthalten in:

Zur Gesamtaufnahme - volume:76

Enthalten in:

Annals of medicine and surgery (2012) - 76(2022) vom: 01. Apr., Seite 103431

Sprache:

Englisch

Beteiligte Personen:

Alavi Farzaneh, Babak [VerfasserIn]
Alipour, Mehdi [VerfasserIn]
Reisi-Vanani, Vahid [VerfasserIn]

Links:

Volltext

Themen:

CBD, Common bile duct
CHD, Common hepatic duct
Case Reports
Case report
ERCP, Endoscopic retrograde cholangiopancreatography
Laparoscopic cholecystectomy
MRCP, Magnetic resonance cholangiopancreatography
PCO, Polycystic ovary
PCOD, Polycystic Ovarian Disease
Postoperative ascites
SAAG, Serum ascites albumin gradient

Anmerkungen:

Date Revised 17.03.2022

published: Electronic-eCollection

Citation Status PubMed-not-MEDLINE

doi:

10.1016/j.amsu.2022.103431

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM338148299