A year-old male, with past history of COPD, presented with progressive shortness of breath of five days duration, associated with cough and increased sputum production.
He had a 30 pack year smoking history and worked as a clerk in a plumbing store for two decades. Damage Control Surgery DCS is an appropriate approach to the treatment of critically ill patients with severe intraabdominal sepsis. DCS is not a surgical manoeuvre but an alternative treatment mode to primary definitive surgical care. Diverticular perforation is a common complication of diverticulitis and can lead to the creation of abscesses.
A year-old male, with no prior medical history, was referred to our hospital due to odynophagia and fever with 3 days, sudden worsening with dyspnea, drooling, edema and anterior neck pain.
Physical examination revealed tachypnea, trismus, halitosis, bulging of the pharyngeal lateral walls and salivary stasis. Portobiliary fistulas are a rare complication of percutaneous transhepatic biliary procedures that could result in hemorrhage or sepsis.
Hence we present a case of a transhepatic biliary drainage insertion in a patient with an underlying Bismuth type IV cholangiocarcinoma which resulted in a portobiliary fistula. Aphasia causes a significant limitation on the person who suffers it since communication is essential for the human being.
