What is the most appropriate next step for a 42-year-old woman with a large collection in the subhepatic area after laparoscopic cholecystectomy?
Understand the Problem
The question is asking for the most appropriate next step in the management of a patient who has developed a large subhepatic fluid collection after a laparoscopic cholecystectomy. The goal is to determine the best course of action for this situation, which typically involves evaluating the options of drainage methods available.
Answer
Percutaneous drainage of the collection.
The most appropriate next step for a 42-year-old woman with a large collection in the subhepatic area after laparoscopic cholecystectomy is likely to perform a percutaneous drainage of the collection.
Answer for screen readers
The most appropriate next step for a 42-year-old woman with a large collection in the subhepatic area after laparoscopic cholecystectomy is likely to perform a percutaneous drainage of the collection.
More Information
After laparoscopic cholecystectomy, collections like bile or abscesses in the subhepatic area are often managed with imaging-guided percutaneous drainage, aiming to resolve the collection without invasive surgery.
Tips
Missing the possibility of a bile leak and not evaluating the bile ducts could delay appropriate intervention.
Sources
- Multimodality Imaging of Cholecystectomy Complications - pubs.rsna.org
- Review of imaging in post-laparoscopy cholecystectomy complications - pmc.ncbi.nlm.nih.gov
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