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Intraop finding..........q? - jamebond
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10-12-2011, 09:38 AM
30 year old man presents with fever and severe right upper quadrant pain
Intraop finding: http://img163.imageshack.us/img163/5773/aswn.jpg What is the most likely pathophysiology in this case? Thanks........
10-12-2011, 09:56 AM
Cholelithiasis...pigmented gallstone is seen most in infection of the biliary tract such as this case and also it can be seen in patients with chronic RBC hemolysis,alcoholic cirrhosis,
release of beta glucoronidase by injured hepatocytes nd bacteria
10-12-2011, 09:59 AM
macronodular change due to severe liver injury (post infectious) leading to hepatic necrosis.
im not sure about this
10-12-2011, 06:11 PM
Very good......maryam
Risk factors for pigment stones include hemolytic anemias (such as sickle-cell disease and hereditary spherocytosis), cirrhosis, and biliary tract infections. |
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