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Re: Ascites, abdominal wall closure and cirrhosis From: Joe Cutchin (forcep@intercom.net) Wed Sep 8 13:36:41 2004 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Joanne Bulley, MD: "Cincinnati - Again" Previous message: Joe Cutchin: "Re: Ascites, abdominal wall closure and cirrhosis" Maybe in reply to: Ricardo Savaris: "Ascites, abdominal wall closure and cirrhosis" Next in thread: ENDODOK@aol.com: "Re: Ascites, abdominal wall closure and cirrhosis" As Ashley stated,you must rule out urinary injury ,not just believe it is unlikely. I saw a ureteral separation in a supracervical hyst. Ricardo Savaris wrote: > > 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: Joanne Bulley, MD: "Cincinnati - Again" Previous message: Joe Cutchin: "Re: Ascites, abdominal wall closure and cirrhosis" Maybe in reply to: Ricardo Savaris: "Ascites, abdominal wall closure and cirrhosis" Next in thread: ENDODOK@aol.com: "Re: Ascites, abdominal wall closure and cirrhosis"

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