The patient is Mrs. Tran Thi L., 75 years old, residing in Bao Thang district, Lao Cai province. Mrs. L. has a history of gallstones and kidney stones on both sides for many years. Approximately one week before hospitalization, the patient experienced symptoms of epigastric pain, dull pain, and aching in the right lower rib area.
She was then transferred from Bao Thang Regional General Hospital to Lao Cai Provincial General Hospital No. 2 for further treatment.


The patient's abdominal CT scan results showed a dilated common bile duct, 17mm in diameter, with multiple stones located along a 6cm section of the duct; the gallbladder wall was thin, containing a 14mm diameter stone.

The doctors consulted and proceeded with surgery to open the common bile duct to remove stones, remove the gallbladder, and insert a Kehr drain for the patient. The surgery was successful after more than an hour.
Placing a Kehr drain after biliary tract stone removal surgery has a high success rate. This method not only helps remove all stones from the body but also allows for monitoring the patient's biliary tract condition.
Two days after surgery, the patient's condition stabilized and they could be discharged after two weeks of treatment.
Gallstones are one of the most common surgical conditions, second only to appendicitis in the group of gastrointestinal diseases. Stones can appear in the gallbladder, intrahepatic or extrahepatic bile ducts, but are most commonly found in the large bile ducts. When stones grow to a large size, causing obstruction, inflammation of the bile ducts, and potentially dangerous complications, doctors are forced to recommend surgery to ensure the patient's safety.
If gallstones in the common bile duct are not diagnosed and treated thoroughly, they can lead to several dangerous complications such as: cholangitis, cholecystitis, acute pancreatitis, risk of gallbladder necrosis, peritonitis, or sepsis...
Doctors advise that people experiencing symptoms such as: pain in the upper right abdomen, cramping abdominal pain that may radiate to the back or shoulder, persistent high fever, jaundice, and pale stools should seek medical attention promptly if these symptoms recur in multiple episodes, sometimes subsiding on their own.
Source: https://baolaocai.vn/benh-vien-da-khoa-so-2-tinh-lao-cai-thuc-hien-thanh-cong-phau-thuat-mo-ong-mat-chu-lay-soi-cat-tui-mat-post881952.html






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