RESUMEN
U tubes have been used for a wide variety of hepatobiliary problems. We report a patient with multiple complications possibly related to the use of a U tube. These include secondary biliary cirrhosis, intrahepatic bilomas, and enterocutaneous fistula. The relatively rare entities of intrahepatic biloma and enterocutaneous fistula are reviewed.
Asunto(s)
Enfermedades de las Vías Biliares/etiología , Stents/efectos adversos , Anastomosis Quirúrgica , Bilis , Fístula Biliar/etiología , Fístula Cutánea/etiología , Humanos , Yeyunostomía , Cirrosis Hepática Biliar/etiología , Masculino , Persona de Mediana EdadRESUMEN
BACKGROUND: Family physicians are often called upon to evaluate a patient with fever that occurs following a surgical procedure. While fever is a common postoperative event, it can have various prognostic implications. METHODS: The incidence and significance of postoperative fever was studied in a relatively healthy group of patients who had undergone cholecystectomy. Risk factors for infection as well as the incidence of infection were recorded. RESULTS: The overall rate of infection was 5.7%. In comparing the epidemiologic, operative, and laboratory data of patients with fever with those without fever, the only statistical difference noted was a greater incidence of fever in men (P less than .01). As the sole diagnostic criterion for determining the presence of infection, fever was of little value. Other clinical findings proved to be more discriminating markers for infection. CONCLUSIONS: Postoperative fever in a cholecystectomy patient by itself is not suggestive of infection. Clinical findings remain the primary diagnostic guide to distinguishing those patients who require further evaluation.