Case Report on Choledocholithiasis with ERCP with thrombosis of the portal vein, splenic vein, superior mesenteric vein with systemic

Abstract

Background: Cholelithiasis, one of the most common medical conditions leading to surgical intervention, affects approximately 10 % of the adult population in the United States. Choledocholithiasis develops in about 10%-20% of patients with gallbladder stones and the literature suggests that at least 3%-10% of patients undergoing cholecystectomy will have common bile duct (CBD) stones. Case Presentation: A 48-year female was admitted to the tertiary care hospital Wardha in the female medicine ward, with the primary complaint of abdominal pain, back pain, nausea, vomiting, fever, bloating in the abdomen, constipation. No medical history such as diabetes mellitus, No significant history. Physical examination and systemic examination were done. The patient's general appearance is not good, she was undernourished, the patient is not active and very dull nature, not maintained hygiene and personal grooming Conservative. Haemoglobin 10 gm%, WBC Count 5000 cells /mm³, RBC Count 20000- 40000 IgM and IgG cells /mcL test both positive, platelets count 12000 cells / mm³, endoscopic retrograde cholangiopancreatography for confirming the diagnosis Choleodolithiasis with ERCP with thrombosis of the portal vein, splenic vein, superior mesenteric vein with systemic. Computed tomography and Magnetic resonance imaging, urine culture, and complete blood count were done and which were abnormal. The patient was transfused to the surgery ward for surgical management. Patient managed with the surgery of laparoscopic cholecystectomy surgery help to remove gallstones and also managed with medical management given to patient antibiotics, analgesics, antacids, and other supportive measures. Conclusion Due to conservative management and quality of nursing care, the patient's condition was stable and had no active complaints at present hence the patient is being discharged.