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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Complications After Laprascopic Cholecystectomy, Appearance Of Jaundice, Elevated WBC. Bile Duct Injury ?

i had laprascopic cholecystectomy on august 23. the surgeon stated their were complications. i had five incision site; the imbilical one contained 8 sutures alone and a jp drain. since that time i have constant pain, fever, nausea, vomiting, appearance of jaundice on my face. i have been to see the surgeon four times and to the e.r. the surgeon stated that i had fluid in the abdomen and cholangitis and gave me a prescription for antibiotics that i am not responding too. i am thinking there is a bile duct injury. i have had two ct scans with contrast and it is not showing anything out of the norm they say and blood work just shows elevated wbc. i thought that it was the norm to either do a choliangagram (not spelled correctly) or ultrasound. i am looking for another doctor before it worsens. because everything i read sounds like a bile duct injury.
Thu, 12 Sep 2013
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Pediatrician 's  Response
Hi,
Thank you for your query on Healthcare Magic.
Elevated WBC count, appearance of jaundice, fever are suggestive of infection most probably intra abdominal like cholangitis or some times peritonitis.
You need consultation with the surgeon and physician opinion may be required to evaluate for this symptoms.
Course of intravenous antibiotics may be required to fight against the infection.
In mean time you need investigations like blood cultures, liver function tests, and cholangiogram to know the exact problem
Therefore consult the surgeon.
Hope I have answered your query.
Regards.
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Complications After Laprascopic Cholecystectomy, Appearance Of Jaundice, Elevated WBC. Bile Duct Injury ?

Hi, Thank you for your query on Healthcare Magic. Elevated WBC count, appearance of jaundice, fever are suggestive of infection most probably intra abdominal like cholangitis or some times peritonitis. You need consultation with the surgeon and physician opinion may be required to evaluate for this symptoms. Course of intravenous antibiotics may be required to fight against the infection. In mean time you need investigations like blood cultures, liver function tests, and cholangiogram to know the exact problem Therefore consult the surgeon. Hope I have answered your query. Regards.