How to Grade? - Grey Zone Cases

Over 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 9:
After an uneventful hernia repair, a 28-year-old man was discharged 2 days after the procedure. Four days later, he came to the emergency room complaining of epigastric pain. He had no fever and laboratory results were normal. We performed an upper GI endoscopy, which revealed an uncomplicated duodenal ulcer. We prescribed a proton pump inhibitor and the patient was discharged on the same day.


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