How to Grade? - Grey Zone CasesOver the past five years, we were confronted with a couple of clinical cases, in which the grading of complications turned out to be difficult. Such cases were prospectively collected at our center.
Example of "grey zone cases"
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Scenario 11:
A 63-year-old man underwent a right hemiliver resection for a hepatocellular carcinoma. The patient complained about right
upper quadrant pain and developed a fever on postoperative day 4.
A CT scan revealed an infected biloma in the right upper quadrant,
which was drained percutaneously. After successful drainage of
the biloma, the patient became acutely dyspnoeic due to a
significant pneumothorax. A thorax drain was inserted to treat the
pneumothorax.
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