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肠鸣、移动性浊音、腹膜刺激征、腹痛、肝被膜血肿破裂、少尿、腹膜炎
Biliary peritonitis is chemical/bacterial inflammation of peritoneum from bile leakage (perforated gallbladder, postoperative bile duct injury, T-tube dislodgement), presenting with severe abdominal pain, jaundice, and sepsis. Treatment: NPO; IV fluids; broad-spectrum antibiotics; urgent surgical exploration/cholecystectomy/lavage; ERCP + sphincterotomy/stent for bile duct leak; percutaneous drainage of biloma; ICU monitoring; treat underlying cause (gallstones/injury); follow-up.
Severe abdominal pain; jaundice; sepsis; bile in peritoneum
Bile leakage (perforation/injury) causes chemical/bacterial peritonitis.
NPO/IV fluids/antibiotics; urgent surgery/ERCP drainage; ICU
Careful biliary surgery; early treatment of acute cholecystitis.
It is recommended to visit the Hepatobiliary-surgery/Gastrointestinal-surgery/Emergency/Critical-care department; an appointment can be booked on this platform before the visit.
Warm reminder: The above information is for health science reference only and cannot replace professional medical diagnosis. If you have related symptoms, please seek medical attention at a regular hospital promptly.
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