Concluded Case

Safe Lap Cholecystectomy associated with haemangioma

A male patient aged 35 yrs presented with features of Cholecystitis USG WHOLE ABDOMEN suggested cholelethiasis ( multiple) with cholecystitis Pre Op investigations were within normal limits PAC fit Patient was taken up for Lap cholecystectomy On exploration it was found that gallbladder was opaque, distended with thickened wall Pericholecystic adhesions ++ Incidental Finding Haemangioma in Segment 4 of liver in close vicinity of gallbladder Decision Proceed with Lap Cholecystectomy followed later by selective embolization of haemangioma If during surgery develops iatrogenic injury and bleed - Resection of haemangioma Proceeded and a safe lap cholecystectomy was done

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Concluded answer

Haemangioma was an incidental finding and hence no Surgical intervention was done. would suggest Surgical intervention if symptomatic but yes iatrogenic injury and haemorrhage at the time of laparoscopic cholecystectomy would have called for Surgical intervention

All Answers

Haemangioma was an incidental finding and hence no Surgical intervention was done. would suggest Surgical intervention if symptomatic but yes iatrogenic injury and haemorrhage at the time of laparoscopic cholecystectomy would have called for Surgical intervention

Hemangioma was an incidental finding and there was no symptoms due to it.So is it necessary for any intervention for the hemangioma?

Well done Dr.ajit

Thank you doctor
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