When discarded medical history as a cause of pneumoperitoneum, it is considered that ventilation is the most common cause. Benign idiopathic or nonsurgical pneumoperitoneum, can be be treated conservatively if the patient agrees. But if intraabdominal hypertension prevails, it can result in severe respiratory and hemodynamic deterioration, sometimes requiring abdominal decompression to immediately get lower abdominal pressure and thus improve hemodynamic function.
Introduction: Duplicity of the common bile duct (DCBD) is an unusual congenital disorder. Case report: An 80-year-old woman with duplication of the common bile duct with retrograde endoscopic cholangiopancreatography (ERCP) who did not resolve the symptoms. Discussion: Our case is a variant of type IV to the classification of DCBD. The MR cholangiography and pre-surgical ERCP allow assessment of the bile ducts, their caliber, and assessment of abnormalities. The treatment before DCBD will depend on the clinic and the type of opening of the CBCA. Conclusions: It is important to perform a pre-surgical study and during surgery with CIO.
Introduction: Duplicity of the common bile duct is an unusual congenital disorder. Case report: A 80-year-old woman with duplication of the common bile duct with retrograde endoscopic cholangiopancreatography (ERCP) who did not resolve the symptoms. Discussion: Our case is a variant of Type IV to the classification of duplicity of the common bile duct. The magnetic resonance cholangiography and pre-surgical ERCP allows assessment of the bile ducts, their caliber, and assessment of abnormalities. The treatment before duplicity of the common bile duct will depend on the clinic and the type of opening of the accessory common bile duct. Conclusions: It is important to perform a pre-surgical study and during surgery with intrasurgical cholangiography.
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