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27 June 2022: Articles

A Rare Case of Extended Retroperitoneal Biloma Due to Spontaneous Perforation of Common Bile Duct, Mimicking a Strangulated Right Inguinal Hernia: A Case Report and Literature Review

Challenging differential diagnosis, Rare disease

Ioannis G. Gkionis A , Mathaios E. Flamourakis B , Andreas F. Strehle B* , Zafeiro I. Karafoulidou B , Georgios E. Kostakis A , Konstantinos G. Spiridakis A , Aggelos Laliotis A , Michail I. Giakoumakis E , Manousos S. Christodoulakis A

DOI: 10.12659/AJCR.936255

Am J Case Rep 2022; 23:e936255

Table 1. Blood test results on admission.

Blood test markersOn admissionNormal value range
WBC47.1503.800–10.500/mL
Hct43.141–53.8%
Hb14.613.4–17.4 g/dL
PLT390150–400 K/μl
CRP44.25
UR5715–50 mg/dL
CR1.490.7–1.3 mg/dL
K4.53.5–5.1 mmol/L
Na140136–145 mmol/L
TA- BIL3.50.3–1.2 mg/dL
D -BIL2.410–0.5 mg/dL
SGOT340–35 U/L
SGPT260–55 U/L
GGT1390–50 U/L
ALP16240–150 U/L
WBC – white blood cells; Hb – hemoglobin; Hct – hematocrit; PLT – platelets; CRP – C-reactive protein; UR – urea; Cr – creatinine; Na – sodium; K+ – potassium; TA-BIL – total bilirubin; D-BIL – direct bilirubin; SGOT – serum glutamic oxaloacetic transaminase; SGPT – serum glutamic pyruvic transaminase; GGT – gamma glutamyl transferase; ALP – alkaline phosphatase.

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American Journal of Case Reports eISSN: 1941-5923
American Journal of Case Reports eISSN: 1941-5923