Curofy
Dr. Ajit Jangbahadur (General Surgery) needs a second opinion on this medical case.
A male patient aged 35 yrs presented with features of Cholecystitis
USG WHOLE ABDOMEN suggested cholelethiasis ( multiple) with cholecystitis
Pre Op investigations were within normal limits
PAC fit
Patient was taken up for Lap cholecystectomy
On exploration it was found that gallbladder was opaque, distended with thickened wall Pericholecystic adhesions ++
Incidental Finding
Haemangioma in Segment 4 of liver in close vicinity of gallbladder
Decision
Proceed with Lap Cholecystectomy followed later by selective embolization of haemangioma
If during surgery develops iatrogenic injury and bleed - Resection of haemangioma
Proceeded and a safe lap cholecystectomy was done