1-Hepatopatia Crónica Descompensada
3-Colecistitis & Colelitiasis Múltiple
4-Insuficiencia Renal Crónica ( IRC)
Female patient aged 37, in a dialysis program for 10 years, with umbilical hernia operated 6 years ago. Presents with severe decompensation, resting dyspnea, anasarca, hypertension and pain in the peri-umbilical region. When abdominal eco-sonographic examination appreciate enlarged liver with hypo-echogenicity and micro-nodular widespread, common bile duct hyper-echogenic image shows ( stone ) located near the ampulla of Vater, with posterior echogenic shadow. We appreciate lots of free ascitic fluid in the abdominal cavity. Gallbladder showing thickening of the walls in the presence of hyper-echogenic multiple images (stones) inside left shadows beyond. Both kidneys show increased cortical echogenicity, effacement of cortico-medullary border and signs of renal hypotrophy, presence of micro-cortical cysts in the right kidney. The Spleen looks volume increased in size approx: from 691.9 ml. The funny thing is that the companions of the patient just wanted you to examine your navel, where she had pain. In consideration of this area is checked for the presence of hernia Umbilical (eventration ) in area.
1-Decompensated Chronic Liver Disease
3-Cholecystitis & Cholelithiasis Múltiple
4-Chronic Renal Failure
7-Umbilical Eventration .