Waltman Walter syndrome

Waltman Walter syndrome[1] is characterized by accumulation of bile in the right subphrenic or subhepatic space, even when provision for drainage appears to have been adequate after a cholecystectomy. It is named for Dr. Waltman Walters, an abdominal surgeon at the Mayo Clinic in Rochester, MN.

Waltman Walter syndrome

Symptoms and signs

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Upper abdominal or chest pain associated with tachycardia and persistently low blood pressure due to compression on IVC are cardinal signs and are mistaken for coronary thrombosis.

Diagnosis

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Ultrasonography will show collection in subphrenic or subhepatic space.

Treatment

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Abdominal reexploration and drainage of bile is curative.

References

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  1. ^ McNair TJ (1972). "The Waltman Walters syndrome". J R Coll Surg Edinb. 17 (3): 185–9. PMID 5072924.