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Re: Ascites, abdominal wall closure and cirrhosisFrom: D. Ashley Hill (dahmd@cfl.rr.com)Tue Sep 7 21:41:48 2004
At Tue, 7 Sep 2004, Ricardo Savaris wrote: > >Hello folks. > >Need some help with a case. We performed a SAH in a patient with HCV >and cirrhosis. She was doing fine on the post-op, but on PO day 3 she >started to drain ascitis from the surgical wound. She was draining >1000ml/day. Ricardo- You might want to run a creatinine on the ascites, to make sure you don't have a ureteral or bladder injury. Or, obtain an intravenous pyelogram. In addition, I would evaluate any fever carefully, as patients with large-volume ascites are at risk for bacterial peritonitis. Is there a gastroenterologist available? Good luck. Ashley
-- D. Ashley Hill, MD Associate Director Department of Obstetrics and Gynecology Florida Hospital Family Practice Residency Orlando, Florida
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