2025년 7월 16일 수요일

inflammation/abscess

 CROHN'S DISEASE

S07EM07 Open conversion small bowel resection and anastomosis 🎬

    M/22

    Dx; small bowel mesenteric abscess and multiple small bowel stricture

    Hx; underlying Crohn's disease

    pre-OP CT; intra-abdominal abscess and multiple small bowel stricture

    CD II; post-operative small bowel obstruction

Gallbladder disease

 POST-CHOLECYSTECTOMY COMPLICATION

S07EM06 Open gallbladder resection 🎬

    (completion cholecystectomy)

    M/68

    Dx; bile peritonitis d/t bile leakage after laparoscopic cholecystectomy

    Hx; GB cancer T2b after cholecystectomy

    CD IIIa; ERBD via ERCP

    f/u CT; bile peritonitis, huge peri-hepatic bile collection

    CD IIIa; re-ERBD via ERCP

    CD IIIa; PCD for bile drainage

bowel perforation

COLON PERFORATION


S07EM05 Open colon resection and end-colostomy 🎬

    (Hartmann's procedure)

    M/66

    Dx; sigmoid colon perforation

    CD IVb; respiratory failure, AKI, deep surgical site infection and                                         dehiscence, fragile colostomy