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Re: Ascites, abdominal wall closure and cirrhosis From: Ricardo Savaris (rsavaris@hcpa.ufrgs.br) Wed Sep 8 12:24:20 2004 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: art fougner, md: "Re: Genetics help" Previous message: Ricardo Savaris: "Re: Ascites, abdominal wall closure and cirrhosis" In reply to: D. Ashley Hill: "Re: Ascites, abdominal wall closure and cirrhosis" Next in thread: Braun, R. Daniel: "Re: Ascites, abdominal wall closure and cirrhosis" Yes, Gastro is with us on the case. I believe that the ureteral injury is very unlikely, patient has no pain, and is urinating fine, besides, it was a subtotal hysterectomy. Peritonitis is also my concern, but we put a colostomy bag on the wound. I will keep informed So far, thank you very much Ricardo At Tue, 7 Sep 2004, D. Ashley Hill wrote: > >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 > -- Ricardo Savaris, MD Porto Alegre - Brasil Next message: art fougner, md: "Re: Genetics help" Previous message: Ricardo Savaris: "Re: Ascites, abdominal wall closure and cirrhosis" In reply to: D. Ashley Hill: "Re: Ascites, abdominal wall closure and cirrhosis" Next in thread: Braun, R. Daniel: "Re: Ascites, abdominal wall closure and cirrhosis"

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