Journal of Surgery

Dhiraj Barman

Publications

• Case Report
  Laparoscopic Cholecystectomy in a Patient with Portal Cavernoma
  Author(s): Nilanjan Panda, Ruchira Das, Subhoroto Das, Samik K Bandopadhyay, Dhiraj Barman and Ramakrishna MondolNilanjan Panda, Ruchira Das, Subhoroto Das, Samik K Bandopadhyay, Dhiraj Barman and Ramakrishna Mondol
  
  Portal cavernoma (network of collateral vessels around the portal vein) is found in one-third of patients with thrombotic portal vein. Management of Cholecystitis in such a patient is problematic. Laparoscopic cholecystectomy is usually contraindicated due to risk of haemorrhage. A 32 year old female presented with symptomatic calculous cholecystitis and portal cavernoma without portal hypertension. Liver functions were normal (non-cirrhotic, no jaundice). Conservative treatment failed. Imaging assessment was by Ultrasound Doppler, followed by CT and MRCP, MRI and MRA. We performed laparoscopic cholecystectomy was successfully performed. Operative time 210 minutes, blood loss 50 ml. Extreme caution and painstakingly meticulous dissection around the cavernoma was the key to success. Although open cholecystectomy may assume to be safer in such patients; enhanced magn.. Read More»
  

  Abstract PDF