مريض بعد عملية ويبل لسرطان البنكرياس، في اليوم الرابع لاحظ الممرض أن سائل التصريف تغير من دموي خفيف إلى سائل صافٍ كثير، والمريض يشتكي من ألم بطن متزايد. الحرارة ٣٨٫٥، النبض ١١٤. ما المضاعفة التي يجب إبلاغها؟

On day 4 after a Whipple procedure for pancreatic cancer, the nurse notes drain fluid has changed from light bloody to large amounts of clear fluid, and the client reports increasing abdominal pain. T 38.5 °C, HR 114. Which complication should be reported?

1. Normal improvement in drainage after surgery
2. Leak from the pancreatic anastomosis (pancreatic fistula)
3. A small blood collection at the external wound
4. A blocked urinary catheter only

Answer: B) Leak from the pancreatic anastomosis (pancreatic fistula). After Whipple, increasing drain output with changed character, pain and fever may indicate a pancreatic leak, a common serious complication. Notify the surgeon; drain amylase may be checked.