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C-Reactive Protein as a Marker of Postoperative Septic Complications

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Witczak A., Jurałowicz P., Modzelewski B., Gawlik M.
Polish Journal of Surgery
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2012
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vol. 84
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issue 2
93-98
EN
The aim of the study was to answer the question whether or not determination of C-reactive protein in patients after serious abdominal surgeries can be prognostic of septic complications.Material and methods. 36 patients who underwent elective surgeries were included in the study. The patients were included either in the group where no postoperative SIRS developed or in the group where postoperative SIRS did occur. In the seven-day period after the surgery, in 26 patients SIRS was found, and in 10 - sepsis was suspected (according to the ACCP/SCCM definitions). In patients who underwent abdominal surgeries blood concentration of C-reactive protein was determined prior to the surgery (measurement '0'), and then on postoperative days 1, 2, 3, 5 and 7.Results. The test for two variables (C-reactive protein on postoperative days five and seven) showed statistically significant difference, and for one variable (C-reactive protein on day three) - difference at the limit of significance. Thus, it was found that in the postoperative SIRS group the level of C-reactive protein is higher than in the non-SIRS group.Conclusions. Serial measurements of C-reactive protein are useful in the first week after surgery, as they can be prognostic of postoperative septic complications. Such complications can be anticipated if CRP on postoperative day 5 is higher than 1/2 of the maximum CRP concentration on day 2 or day 3, or CRP > 150 mg/L as of postoperative day 3. Unfortunately, the severity of the disease cannot be projected based on C-reactive protein level.
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Coil Migration Following Intravascular Embolization of Hepatic Artery Aneurysm as a Cause of Life-Threatening Obstructive Jaundice - Case Report

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Jurałowicz P., Witczak A., Czekalski P., Stefańczyk L.
Polish Journal of Surgery
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2010
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vol. 82
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issue 12
684-686
EN
Authors present a case of a 75-year old woman who developed obstructive jaundice caused by migration of an embolization coil. Following ERCP during which the coil and surrounding biliary deposits were removed, the patient was discharge home. 7 months earlier the patient had undergone an elective cholecystectomy. Immediately after the procedure the patient was diagnosed with hemobilia caused by an aneurysym of the right hepatic artery. Endovascular procedure was performed and 3 embolization coils were implanted into the right hepatic artery.
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