The patient was discharged on the 9th hospital day and the cholecystostomy tube was removed on the 7th day after discharge.Elective cholecystectomy was advised, but refused.
MethodsThe clinical datal of nonoperative management of 21 cases with closed hepatic Injuries from January 1994 to December 2004 were retrospectively analysed.
One patient with transversal injury of choledoch voluntarily left the hospital because of occurrence of extrahepatic obstructive biliary cirrhosis after the operations.
A small-bowel series demonstrated obstruction in jejunum by another bezoar.Therefore, she underwent enterotomy to relieve the obstruction and recovered uneventfully.
After the child had been treated, and was being prepared for discharge, Dr. Meyer talked to the parents about how they should care for the child at home.
However, the thought that emerged immediately after being discharged from hospital was: " If Ray Charles can play the piano while blind as a bat, let's get to work on a solution for this guitar problem."