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Disease Information for Surgical ligation/common bile duct

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.

(Edit)

External Links Related to Surgical ligation/common bile duct

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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