Post-Operative Fever After Laparoscopic Cholecystectomy: Is It Normal? - Gastroenterology and Hepatology

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Post-operative fever after laparoscopic cholecystectomy, particularly following surgery for acute cholecystitis, can be a concerning symptom for both patients and their families. It is important to understand the potential causes of fever in this context and when it might be considered normal or a sign of complications.

Firstly, it is not uncommon for patients to experience a mild fever in the days following surgery. This can be attributed to several factors, including the body's inflammatory response to surgical trauma, the stress of the procedure, and the healing process. A low-grade fever, typically defined as a temperature between 37.5°C (99.5°F) and 38.3°C (100.9°F), can occur as part of the normal post-operative recovery process. However, persistent or recurrent fevers, especially those that occur daily, warrant further investigation.

In your father's case, the presence of a fever ranging from 37.3°C to 38.3°C, along with localized abdominal discomfort, could indicate a few possibilities. One common cause of post-operative fever is an infection, which could be related to the surgical site or internal structures. For instance, if there is a bile leak, abscess formation, or an infection in the abdominal cavity, these conditions could lead to fever and abdominal pain. Additionally, the presence of retained stones or a condition known as post-cholecystectomy syndrome could also contribute to these symptoms.

Another consideration is the possibility of a pulmonary complication, such as atelectasis, which can occur after abdominal surgery due to shallow breathing or reduced mobility. This can lead to fever as well, although it typically presents with respiratory symptoms.

Given that your father is experiencing daily fevers, it is crucial to consult with his surgeon or healthcare provider as soon as possible. They may recommend diagnostic imaging, such as an ultrasound or CT scan, to assess for any complications such as fluid collections, abscesses, or other issues that may require intervention. Blood tests may also be performed to check for signs of infection or inflammation.

In summary, while a mild fever can be a normal part of the post-operative recovery process, the persistence of fever and associated abdominal pain should not be overlooked. It is essential to seek medical advice to rule out any complications and ensure appropriate management. Early intervention can often lead to better outcomes and a smoother recovery process.