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Home Surgery QUIZ: Gallblader removed

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QUIZ: Gallblader removed PDF Print E-mail
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Tuesday, 19 October 2010 09:25

Case: A person with age of 53years admited to the hosptial with the severe abdominal pain. The doctor diagnose that the gallblader is fibroused and is removed soon after perfoming ultra sound. When the operation is done the patient is complaining that his sensation on the right side from umblicus upto end of the abdomen is lost.

QUIZ questions: What should be the proper reason for that complain? What should you diagnosed?
 

Comments  

 
-10 #1 vanrobod000 2011-01-08 04:42
Before I express my opinion plese note I have no official med school experience/ but I have opinions that I think might lead you to a right answer. I aim to go one day maybe. Alright, so the pateint has discomfort upon getting his galblader removed wich seggusts infection or he could just be soar after surgery. It'd be easyer to diagnose if I knew some more of his backround. I seggest getting a blood test to check for the infection. And remember I have no medical experience prior to this. I hope this helped.
 
 
+11 #2 Vera 2011-01-15 16:15
I think the cause it´s nerve damaged from the surgery. The gallbladder it´s innervated by the sympathetic nerves arising from the ninth or tenth thoracic segment (innervating that area around the umbilicus), also hepatic nerves and some branches of the phrenic nerve in the right side.
 
 
+1 #3 player13.presh 2011-05-13 02:51
If they used a Kochers incision to incise the anterior abdominal wall muscles or even an incision at the mid clavicular line it is possible tht they hacked through all the nerves tht penetrate the skin though the muscles and travel with them
 
 
0 #4 mhamouda 2011-07-19 12:42
I agree to what vera said and i top it with the eleventh thoracic nerve..that's why you patients get hayperthesia on percussing the back just below the right scapula or on pressing the T10 to T 12 thoracic vertebrae..Known as Boas's sign in acute cholecystitis ..
 
 
0 #5 meena_tharwat 2011-07-24 11:54
was there any contraindicatio n for laparoscopic cholecystectomy ??

it is now the standard maneuver that saves the pateint a rt. subcostal (kochers) incision and with better results
 
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