Riyadh: Mouwasat Hospital
A multidisciplinary medical team at Mouwasat Hospital in Riyadh successfully treated a critically ill patient suffering from acute septic shock resulting from acute pancreatitis, in addition to biliary obstruction caused by stones in the common bile duct.
The patient was transferred from another hospital to the Emergency Department at Mouwasat Hospital in Riyadh. She was in critical condition, suffering from acute septic shock and acute pancreatitis, along with biliary obstruction caused by stones in the common bile duct.
The patient was admitted under the supervision of Dr. Ahmed Abdel Fattah Habib, Consultant in General and Gastrointestinal Surgery. The necessary laboratory investigations and diagnostic imaging examinations were performed to assess her condition and establish an appropriate treatment plan.
Coordination was established with Dr. Mohamed Negm, Consultant in Therapeutic Biliary Endoscopy, to perform an urgent therapeutic intervention combining surgery and endoscopy in a single procedure.
The treatment plan was designed to manage the common bile duct stones and biliary obstruction, while also completing the laparoscopic removal of the gallbladder.
During the procedure, the medical team performed a laparoscopic cholecystectomy. A guidewire was inserted through the cystic duct to facilitate accurate and safe access to the bile ducts using therapeutic endoscopy.
The medical team successfully fragmented and removed the stones causing the obstruction. A plastic stent was also inserted to maintain the flow of bile before the laparoscopic removal of the gallbladder was successfully completed.
Following the procedure, the patient was transferred to an inpatient room to continue receiving the necessary medical care. Her health condition showed significant improvement.
The patient was subsequently discharged from the hospital in a stable condition, with a regular follow-up plan arranged through the outpatient clinics.
This complex condition required precise and timely medical intervention to avoid the potential complications associated with delayed treatment.
Although this type of condition is generally treated through two separate stages, the multidisciplinary team at Mouwasat Hospital in Riyadh successfully completed the entire treatment in a single session and within a short period of time, supported by specialized expertise and modern medical technologies.
This integrated treatment approach contributed to reducing risks, accelerating the patient’s recovery, and improving her overall treatment experience.
