Which finding should be reported immediately after open cholecystectomy?

Which finding should be reported immediately after open cholecystectomy?

• A. Respiratory rate of 30
• B. Blood pressure reading of 104/50
• C. Incisional pain with foul, green drainage
• D. Urinary output of 75 mL straw colored urine

Answer: (C)

After open cholecystectomy, watching the drainage is crucial because it can reveal a biliary complication. Green, foul-smelling drainage from the incision or drain strongly suggests bile leakage with possible infection getting into the wound or peritoneal cavity. This is an urgent finding because a bile leak can lead to peritonitis and sepsis if not addressed promptly by the surgical team.

While other findings like a fast respiratory rate, a relatively low blood pressure, or low urinary output are important to monitor, they are not as specific or immediately dangerous in this scenario as evident bile in the drainage. The presence of bile in the drain points to a potential leak that requires rapid evaluation and action.