Disease Information for Surgical ligation/common bile duct

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Clinical Manifestations
Signs & Symptoms
Pruritis Itching
Yellow skin discoloration
Abdominal pain after meals/eating food
Cibaphobia/Fear of Eating
Right Upper Quadrant Pain/Tenderness
Stool color/appearance abnormal
STOOL Light colored
Upper Abdominal Pain
Cholestasis/Extrahepatic biliary obstruction
Choluria/Biliuria in Elderly
Choluria/Biluria/Bilirubin urine
Jaundice/Yellow skin and eyes
RUQ pain radiates to right scapula
Yellow eyeballs/Scleral icterus
Dark urine
Demographics & Risk Factors
Established Disease Population
Patient/Surgical procedures recent
Laboratory Tests
Abnormal Lab Findings (Non Measured)
Direct bilirubin inc/normal indirect (Lab)
Liver Functions Abnormal (Lab)
URINE Color Brown
Abnormal Lab Findings - Increased
Alkaline phosphatase, liver isoenzyme/serum (Lab)
Alkaline phosphatase, serum (Lab)
Bilirubin, serum (Lab)
Nucleotidase/5 (Lab)
URINE Bilirubin
Diagnostic Test Results
Pathology
BX/Liver biopsy/Bile plugging
Isotope Scan
HIDA Scan/Liver ducts abnormality
HIDA Scan/Obstructed/dilated common duct
Isotope/HIDA Scan Abnormal
CT Scan
CT Scan/CTA Abdomen Abnormal
MRI-Cholodochopancreatic duct abnormality
MRI/Pancreas abnormal
X-RAY With contrast
ERCP/blocked common duct
ERCP/Endoscopic abnormality
Ultrasound
Ultrasound/Abdomen Abnormal
Ultrasound/Abdomen and pelvis abnormal
Ultrasound/Dilated common duct/Upper abdomen
Ultrasound/Gallbladder abnormal
Angiography
Cholangiogram abnormal/PTC
Cholangiogram/hep/biliary tree dilated
IV cholangiogram/bile duct non-visualized
Associated Diseases & Rule outs
Rule Outs
Biliary stricture
Associated Disease & Complications
Bile duct obstruction
Bilirubinemia
Cirrhosis, biliary , secondary
Extrahepatic biliary obstruction/Jaundice
Obstructive jaundice syndrome
Surgical ligation/common bile duct
Disease Synergy - Causes
Synergy/Post Operative-Recent Surgery
Disease Mechanism & Classification
Class
CLASS/Biliary tree involvement/disorder (ex)
CLASS/Liver/gallbladder/ducts (category)
Process
PROCESS/Surgical procedure/complication (category)
Definition

Inadvertant ligation of CBD during cholecystectomy, which escapes detection immediately. Causes total bile flow obstruction and requires surgical correction.

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External Links Related to Surgical ligation/common bile duct
Google
Wikipedia
Merck
Images
PubMed (National Library of Medicine)
NGC (National Guideline Clearinghouse)
Medscape (eMedicine)
Harrison's Online (accessmedicine)
NEJM (The New England Journal of Medicine)
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