from reportlab.lib.colors import HexColor, white, black
from reportlab.lib.pagesizes import portrait
from reportlab.pdfgen import canvas
from reportlab.lib.utils import ImageReader
from reportlab.pdfbase.pdfmetrics import stringWidth
from pptx import Presentation
from pptx.util import Inches, Pt
from pptx.dml.color import RGBColor
from pptx.enum.shapes import MSO_SHAPE
from pptx.enum.text import PP_ALIGN, MSO_ANCHOR
from pptx.enum.dml import MSO_LINE
from pptx.enum.text import MSO_AUTO_SIZE
import os

OUT='/tmp/workspace/gb_biloma_poster/output'
os.makedirs(OUT, exist_ok=True)
W,H=24*72,36*72  # 24 x 36 inch portrait poster
RED=HexColor('#9E1230'); DARK_RED=HexColor('#7F0E27'); GOLD=HexColor('#F3D24C'); GREEN=HexColor('#D7F0A2')
INK=HexColor('#161616'); GREY=HexColor('#EAEAEA'); PALE=HexColor('#FFF7F8'); BLUE=HexColor('#E9F4FB'); TEAL=HexColor('#147A85')

intro = [
'Gallbladder perforation is an uncommon, potentially life-threatening complication of acute cholecystitis, generally following mural ischemia and gangrene.',
'The fundus is vulnerable because of its relatively poor blood supply. Localized leakage may be contained by omentum, adhesions, or the liver.',
'A biloma is an encapsulated intrahepatic or extrahepatic collection of bile outside the biliary tree. Subcapsular biloma secondary to gallbladder perforation is rare.',
'Prompt recognition is important because presentation may mimic liver abscess and delayed source control can result in sepsis or biliary peritonitis.'
]
case = [
'Patient Shakila, a 77-year-old woman, presented to casualty with upper-abdominal pain radiating to the back for 15 days, associated with nausea and low-grade fever.',
'An outside ultrasonography report suggested a liver abscess with a large collection of approximately 1200 cc.',
'Ultrasound-guided pigtail catheter drainage was performed. The initial aspirate was serous (500 cc). On post-procedure day 2, drainage became golden-yellow (200 cc), raising suspicion of a biliary collection.',
'Contrast-enhanced CT of the whole abdomen demonstrated gallbladder perforation with a subcapsular bile collection compressing the hepatic parenchyma, establishing the diagnosis of perforation with biloma formation.'
]
discuss = [
'Niemeier type II perforation is a localized perforation with a contained collection or abscess. In this case, the subcapsular biloma represents a contained bile leak.',
'Ultrasonography is the first-line test for acute cholecystitis and enables drainage. CT is particularly useful when perforation is suspected, demonstrating wall defect, pericholecystic fluid, biloma, and the relation of the collection to the liver.',
'Initial management consists of resuscitation, intravenous broad-spectrum antibiotics, analgesia, and source control. Percutaneous drainage is appropriate for a large, symptomatic, infected, or diagnostically uncertain collection.',
'Definitive treatment is cholecystectomy with drainage/washout when physiology and local anatomy permit. In frail or high-risk patients, drainage with delayed interval cholecystectomy is a reasonable staged strategy.',
'Persistent high-output bilious drainage or suspected ductal obstruction warrants biliary imaging and consideration of ERCP with sphincterotomy/stenting. Open surgery is reserved for difficult anatomy, uncontrolled sepsis, or failure of minimally invasive management.'
]
refs = [
'Sabiston Textbook of Surgery. 22nd ed. Elsevier; 2022. Acute calculus cholecystitis: diagnosis and treatment.',
'Derici H, Kara C, Bozdag AD, et al. Diagnosis and treatment of gallbladder perforation. World J Gastroenterol. 2006;12(48):7832-7836. doi:10.3748/wjg.v12.i48.7832.',
'Morris BS, Balpande PR, Morani AC, et al. The CT appearances of gallbladder perforation. Br J Radiol. 2007;80(959):898-901. doi:10.1259/bjr/28510614.',
'Seyal AR, Parekh KK, Gonzalez-Guindalini FD, et al. Cross-sectional imaging of perforated gallbladder. Abdom Imaging. 2014;39:338-349. doi:10.1007/s00261-014-0121-1.',
'Limani N, Misimi S, et al. Large biloma as the initial presentation of gallbladder perforation: a case report and literature review. Int J Surg Case Rep. 2023;113:109044. doi:10.1016/j.ijscr.2023.109044.',
'Date RS, Thrumurthy SG, Whiteside S, et al. Gallbladder perforation: case series and systematic review. Int J Surg. 2012;10(2):63-68. doi:10.1016/j.ijsu.2011.12.004.'
]

def wrap_pdf(c,text,font,size,width):
    words=text.split(); lines=[]; cur=''
    for word in words:
        test=(cur+' '+word).strip()
        if stringWidth(test,font,size)<=width: cur=test
        else: lines.append(cur); cur=word
    if cur: lines.append(cur)
    return lines

def para_pdf(c,text,x,y,w,font='Helvetica',size=20,leading=27,bull=False,color=INK):
    lines=wrap_pdf(c,text,font,size,w-(24 if bull else 0))
    c.setFillColor(color); c.setFont(font,size)
    for j,line in enumerate(lines):
        if j==0 and bull:
            c.setFont('Helvetica-Bold',size); c.drawString(x,y,'•'); c.setFont(font,size)
        c.drawString(x+(22 if bull else 0),y,line); y-=leading
    return y

def section_pdf(c,title,x,y,w):
    c.setFillColor(RED); c.roundRect(x,y-31,w,33,7,fill=1,stroke=0)
    c.setFillColor(white); c.setFont('Helvetica-Bold',21); c.drawString(x+11,y-23,title.upper())
    return y-47

def make_pdf():
    path=f'{OUT}/GB_Perforation_with_Biloma_Poster.pdf'; c=canvas.Canvas(path,pagesize=(W,H)); c.setTitle('Gallbladder Perforation with Biloma Formation')
    c.setFillColor(white); c.rect(0,0,W,H,fill=1,stroke=0)
    # outer border
    c.setStrokeColor(RED); c.setLineWidth(5); c.rect(24,24,W-48,H-48,stroke=1,fill=0)
    # header
    c.setFillColor(RED); c.rect(28,H-255,W-56,220,fill=1,stroke=0)
    c.setFillColor(white); c.setFont('Helvetica-Bold',44)
    title='GALLBLADDER PERFORATION WITH BILOMA FORMATION'
    # title fits on two lines
    c.drawCentredString(W/2,H-105,'GALLBLADDER PERFORATION')
    c.drawCentredString(W/2,H-158,'WITH BILOMA FORMATION')
    c.setFillColor(GOLD); c.setFont('Helvetica-Bold',22); c.drawCentredString(W/2,H-210,'A RARE PRESENTATION OF CONTAINED BILIARY LEAK')
    c.setFillColor(GREEN); c.rect(28,H-303,W-56,40,fill=1,stroke=0)
    c.setFillColor(INK); c.setFont('Helvetica-Bold',20); c.drawCentredString(W/2,H-289,'Dr Neha Kundu  |  Dr Naveen Kumar Singh')
    left=63; gap=42; colw=(W-2*left-gap)/2; right=left+colw+gap; y=H-340
    # Intro
    y=section_pdf(c,'Introduction',left,y,colw)
    for t in intro: y=para_pdf(c,t,left,y,colw,size=16,leading=21,bull=True); y-=9
    # Case
    y-=6; y=section_pdf(c,'Case Report',left,y,colw)
    for t in case: y=para_pdf(c,t,left,y,colw,size=16,leading=21,bull=True); y-=9
    y-=8; y=section_pdf(c,'Key Diagnostic Clue',left,y,colw)
    c.setFillColor(PALE); c.roundRect(left,y-112,colw,102,8,fill=1,stroke=0)
    y=para_pdf(c,'A change in catheter aspirate from serous fluid to golden-yellow bile after drainage of an apparent “liver abscess” should prompt evaluation for a biloma and occult gallbladder perforation.',left+13,y-28,colw-26,font='Helvetica-Bold',size=17,leading=23,color=DARK_RED)
    # right timeline
    ry=H-340; ry=section_pdf(c,'Clinical Timeline',right,ry,colw)
    events=[('Day 0','Pain radiating to back for 15 days, nausea and low-grade fever.'),('Outside USG','Reported “liver abscess” with ~1200 cc collection.'),('USG-guided drainage','Pigtail placed; 500 cc initial serous aspirate.'),('Post-procedure day 2','200 cc golden-yellow drain output, suspicious for bile.'),('CECT whole abdomen','GB perforation with subcapsular biloma compressing hepatic parenchyma.')]
    for lab,txt in events:
        c.setFillColor(BLUE); c.roundRect(right,ry-75,colw,66,8,fill=1,stroke=0)
        c.setFillColor(TEAL); c.setFont('Helvetica-Bold',16); c.drawString(right+12,ry-28,lab)
        para_pdf(c,txt,right+12,ry-49,colw-24,size=14,leading=17)
        ry-=83
    ry-=8; ry=section_pdf(c,'Discussion & Treatment Options',right,ry,colw)
    for t in discuss: ry=para_pdf(c,t,right,ry,colw,size=15,leading=19,bull=True); ry-=7
    # conclusion bottom with refs to right via fixed placement
    ly=420
    ly=section_pdf(c,'Conclusion',left,ly,colw)
    c.setFillColor(PALE); c.roundRect(left,ly-121,colw,112,8,fill=1,stroke=0)
    para_pdf(c,'Gallbladder perforation with subcapsular biloma may masquerade as a liver abscess. Bilious conversion of catheter output and CECT enable timely diagnosis. Management requires infection control, collection drainage, and individualized definitive biliary source control.',left+13,ly-30,colw-26,font='Helvetica-Bold',size=16,leading=21,color=DARK_RED)
    rfy=420; rfy=section_pdf(c,'References',right,rfy,colw)
    for i,r in enumerate(refs,1): rfy=para_pdf(c,f'{i}. {r}',right,rfy,colw,size=11.5,leading=14); rfy-=7
    c.setFillColor(HexColor('#666666')); c.setFont('Helvetica-Oblique',10); c.drawCentredString(W/2,42,'Case-report poster | Patient details presented as provided | Kindly add institutional affiliation/logo if required')
    c.save(); return path

# PPTX: create an editable 24x36in portrait version with equivalent content in columns
def rgb(h): h=h.lstrip('#'); return RGBColor(int(h[0:2],16),int(h[2:4],16),int(h[4:6],16))
def add_rect(slide,x,y,w,h,fill, line=None, radius=False):
    sh=slide.shapes.add_shape(MSO_SHAPE.ROUNDED_RECTANGLE if radius else MSO_SHAPE.RECTANGLE, Inches(x), Inches(y), Inches(w), Inches(h))
    sh.fill.solid(); sh.fill.fore_color.rgb=rgb(fill)
    sh.line.color.rgb=rgb(line or fill)
    return sh
def add_text(slide,text,x,y,w,h,size=18,bold=False,color='#161616',align=PP_ALIGN.LEFT, font='Arial', margin=0.03):
    tb=slide.shapes.add_textbox(Inches(x),Inches(y),Inches(w),Inches(h)); tf=tb.text_frame; tf.clear(); tf.word_wrap=True
    tf.margin_left=tf.margin_right=tf.margin_top=tf.margin_bottom=Inches(margin); tf.vertical_anchor=MSO_ANCHOR.TOP
    p=tf.paragraphs[0]; p.alignment=align; r=p.add_run(); r.text=text; r.font.name=font; r.font.size=Pt(size); r.font.bold=bold; r.font.color.rgb=rgb(color)
    return tb
def make_pptx():
    path=f'{OUT}/GB_Perforation_with_Biloma_Poster_Editable.pptx'; prs=Presentation(); prs.slide_width=Inches(24); prs.slide_height=Inches(36); slide=prs.slides.add_slide(prs.slide_layouts[6])
    add_rect(slide,0,0,24,36,'#FFFFFF'); border=slide.shapes.add_shape(MSO_SHAPE.RECTANGLE, Inches(.33), Inches(.33), Inches(23.34), Inches(35.34)); border.fill.background(); border.line.color.rgb=rgb('#9E1230'); border.line.width=Pt(2.5)
    add_rect(slide,.38,.48,23.24,3.05,'#9E1230'); add_text(slide,'GALLBLADDER PERFORATION\nWITH BILOMA FORMATION',.7,.82,22.6,1.75,30,True,'#FFFFFF',PP_ALIGN.CENTER)
    add_text(slide,'A RARE PRESENTATION OF CONTAINED BILIARY LEAK',.7,2.65,22.6,.36,14,True,'#F3D24C',PP_ALIGN.CENTER)
    add_rect(slide,.38,3.65,23.24,.55,'#D7F0A2'); add_text(slide,'Dr Neha Kundu  |  Dr Naveen Kumar Singh',.7,3.80,22.6,.25,14,True,'#161616',PP_ALIGN.CENTER)
    lx=.85; rw=10.75; rx=12.4
    def sec(title,x,y,w): add_rect(slide,x,y,w,.42,'#9E1230',radius=True); add_text(slide,title.upper(),x+.12,y+.09,w-.24,.22,13,True,'#FFFFFF'); return y+.55
    def bullets(items,x,y,w,size=10.5,spacing=.1):
        for item in items:
            tb=add_text(slide,'• '+item,x,y,w,.85,size,False,'#161616'); tb.text_frame.auto_size=MSO_AUTO_SIZE.TEXT_TO_FIT_SHAPE; y+=.84+spacing
        return y
    y=4.55; y=sec('Introduction',lx,y,rw); y=bullets(intro,lx,y,rw,10.5,.09)
    y+=.1; y=sec('Case Report',lx,y,rw); y=bullets(case,lx,y,rw,10.4,.11)
    y+=.1; y=sec('Key Diagnostic Clue',lx,y,rw); add_rect(slide,lx,y,rw,1.18,'#FFF7F8',radius=True); add_text(slide,'A change in catheter aspirate from serous fluid to golden-yellow bile after drainage of an apparent “liver abscess” should prompt evaluation for a biloma and occult gallbladder perforation.',lx+.18,y+.18,rw-.36,.8,11,True,'#7F0E27');
    cy=4.55; cy=sec('Clinical Timeline',rx,cy,rw)
    for lab,txt in events:
        add_rect(slide,rx,cy,rw,.82,'#E9F4FB',radius=True); add_text(slide,lab,rx+.14,cy+.11,rw-.28,.22,10.5,True,'#147A85'); add_text(slide,txt,rx+.14,cy+.36,rw-.28,.34,9.5,False,'#161616'); cy+=.94
    cy+=.08; cy=sec('Discussion & Treatment Options',rx,cy,rw); cy=bullets(discuss,rx,cy,rw,9.7,.08)
    ly=24.2; ly=sec('Conclusion',lx,ly,rw); add_rect(slide,lx,ly,rw,1.23,'#FFF7F8',radius=True); add_text(slide,'Gallbladder perforation with subcapsular biloma may masquerade as a liver abscess. Bilious conversion of catheter output and CECT enable timely diagnosis. Management requires infection control, collection drainage, and individualized definitive biliary source control.',lx+.17,ly+.17,rw-.34,.9,10.6,True,'#7F0E27')
    ry=24.2; ry=sec('References',rx,ry,rw); refs_text='\n\n'.join([f'{i}. {r}' for i,r in enumerate(refs,1)]); add_text(slide,refs_text,rx,ry,rw,5.6,8.1,False,'#161616')
    add_text(slide,'Case-report poster | Patient details presented as provided | Kindly add institutional affiliation/logo if required',.85,35.25,22.3,.18,7.5,False,'#666666',PP_ALIGN.CENTER)
    prs.save(path); return path

if __name__=='__main__': print(make_pdf()); print(make_pptx())

Successfully replaced 1 instance(s) of the string in '/tmp/workspace/gb_biloma_poster/src/create_poster.py'

from reportlab.pdfgen import canvas
from reportlab.lib.colors import HexColor, white
from reportlab.lib.utils import ImageReader
from reportlab.pdfbase.pdfmetrics import stringWidth
from PIL import Image
from pptx import Presentation
from pptx.util import Inches, Pt
from pptx.dml.color import RGBColor
from pptx.enum.text import PP_ALIGN, MSO_ANCHOR
from pptx.enum.shapes import MSO_SHAPE
import os

ROOT='/tmp/workspace/gb_biloma_poster'
ASSETS=f'{ROOT}/assets'; OUT=f'{ROOT}/output'
os.makedirs(OUT, exist_ok=True)
W,H=24*72,36*72
RED=HexColor('#990F35'); DEEP=HexColor('#720C29'); GOLD=HexColor('#F3D24C'); INK=HexColor('#161616'); PALE=HexColor('#FFF6F8'); GREY=HexColor('#E9E9E9')

intro=("Gallbladder perforation is an uncommon but serious complication of acute cholecystitis. Persistent cystic-duct obstruction causes gallbladder distension, impaired mural perfusion, ischemia and gangrene, culminating in rupture. The fundus is particularly vulnerable because of its relatively tenuous blood supply. A localized perforation may be sealed by omentum, inflammatory adhesions or the adjacent liver. Slow, contained leakage of bile may subsequently organize into a biloma, defined as a well-demarcated intrahepatic or extrahepatic collection of bile outside the biliary tree. Subcapsular biloma due to gallbladder perforation is rare and may initially mimic a liver abscess. Timely identification is important because unrecognized bile leak may progress to infection, sepsis or generalized biliary peritonitis.")
case=("Shakila, a 77-year-old woman, presented to casualty with pain in the upper abdomen radiating to the back for 15 days. The pain was associated with nausea and low-grade fever. An outside ultrasonography report described a liver abscess with a large collection of approximately 1200 cc. Ultrasound-guided pigtail drainage was performed and initially yielded 500 cc of serous fluid. On post-procedure day 2, a further 200 cc of striking golden-yellow fluid was noted in the drainage bag, raising suspicion of a biliary collection rather than a simple hepatic abscess. Contrast-enhanced CT of the whole abdomen demonstrated gallbladder perforation with a large bile collection in the subcapsular space, causing compression of adjacent hepatic parenchyma. The final diagnosis was gallbladder perforation with subcapsular biloma formation.")
discussion=("The present case is consistent with a contained, localized gallbladder perforation, conventionally categorized as Niemeier type II. In an elderly patient, the clinical picture can be nonspecific and may overlap with uncomplicated cholecystitis or liver abscess. Ultrasonography is the appropriate first-line modality for suspected biliary disease and is valuable for guided drainage. However, CT is particularly helpful when perforation is suspected because it better delineates gallbladder wall discontinuity, pericholecystic inflammation, the extent and compartment of a biloma, mass effect on liver parenchyma, and alternative diagnoses. The change from serous to golden-yellow pigtail output was an important clinical clue to the underlying bile leak.\n\nSabiston describes cholecystectomy as the definitive treatment for acute cholecystitis whenever the patient's physiology and operative risk permit. In perforation with a large collection, management begins with resuscitation, intravenous broad-spectrum antibiotics, analgesia, correction of sepsis, and source control. Image-guided percutaneous drainage is useful for a large, symptomatic, infected or diagnostically uncertain biloma and can stabilize frail patients. For critically ill or high-risk patients in whom immediate surgery is not appropriate, percutaneous gallbladder drainage with antibiotics followed by delayed interval cholecystectomy is a reasonable staged approach. Persistent bilious drainage, ongoing leak, jaundice or suspected distal obstruction should prompt biliary evaluation; ERCP with sphincterotomy and transpapillary stenting may reduce the pressure gradient and facilitate closure of a persistent leak. Laparoscopic cholecystectomy with drainage and washout is preferred when feasible, while open surgery is reserved for unclear anatomy, dense inflammation, uncontrolled sepsis or failed minimally invasive management. Published reports of subcapsular biloma emphasize that percutaneous drainage plus definitive cholecystectomy, either early or staged according to patient condition, achieves effective source control.")
conclusion=("Gallbladder perforation with subcapsular biloma should be considered when a presumed liver abscess yields bile-stained drainage or when clinical improvement is incomplete. CT establishes the anatomical diagnosis, while early antibiotics, drainage of the collection and appropriately timed definitive biliary intervention provide the basis of successful management.")
refs=[
"1. Townsend CM, Beauchamp RD, Evers BM, Mattox KL, eds. Sabiston Textbook of Surgery. 22nd ed. Elsevier; 2022. Acute calculus cholecystitis: diagnosis and treatment.",
"2. Derici H, Kara C, Bozdag AD, et al. Diagnosis and treatment of gallbladder perforation. World J Gastroenterol. 2006;12(48):7832-7836. doi:10.3748/wjg.v12.i48.7832.",
"3. Morris BS, Balpande PR, Morani AC, et al. The CT appearances of gallbladder perforation. Br J Radiol. 2007;80(959):898-901. doi:10.1259/bjr/28510614.",
"4. Seyal AR, Parekh KK, Gonzalez-Guindalini FD, et al. Cross-sectional imaging of perforated gallbladder. Abdom Imaging. 2014;39:338-349. doi:10.1007/s00261-014-0121-1.",
"5. Date RS, Thrumurthy SG, Whiteside S, et al. Gallbladder perforation: case series and systematic review. Int J Surg. 2012;10(2):63-68. doi:10.1016/j.ijsu.2011.12.004.",
"6. Limani N, Misimi S, et al. Large biloma as the initial presentation of gallbladder perforation: a case report and literature review. Int J Surg Case Rep. 2023;113:109044. doi:10.1016/j.ijscr.2023.109044."
]
figs=[
('fig1_bilious_drainage.jpeg','Figure 1. Golden-yellow bilious output in the drainage bag, observed on post-procedure day 2.'),
('fig2_drainage_bag.jpeg','Figure 2. Pigtail drainage system with bile-stained collection.'),
('fig3_ct_noncontrast.jpeg','Figure 3. CT whole-abdomen film demonstrating the large upper abdominal fluid collection.'),
('fig4_ct_contrast.jpeg','Figure 4. Contrast-enhanced CT film showing a subcapsular collection compressing hepatic parenchyma.'),
('fig5_ct_coronal.jpeg','Figure 5. CT coronal reconstructions defining the extent of the collection.')]

def wrapped(text,font,size,width):
    words=text.replace('\n',' \n ').split(); lines=[]; cur=''
    for word in words:
        if word=='\\n': lines.append(cur); cur=''; continue
        t=(cur+' '+word).strip()
        if stringWidth(t,font,size)<=width: cur=t
        else:
            if cur: lines.append(cur)
            cur=word
    if cur: lines.append(cur)
    return lines

def paragraph(c,text,x,y,w,size=16,leading=21,font='Helvetica'):
    for line in wrapped(text,font,size,w):
        if not line: y-=leading*.55; continue
        c.setFont(font,size); c.setFillColor(INK); c.drawString(x,y,line); y-=leading
    return y

def section(c,title,x,y,w):
    c.setFillColor(RED); c.roundRect(x,y-29,w,31,6,fill=1,stroke=0)
    c.setFillColor(white); c.setFont('Helvetica-Bold',19); c.drawString(x+10,y-21,title.upper())
    return y-43

def image_fit(c,path,x,y,w,h):
    im=Image.open(path); iw,ih=im.size; sc=min(w/iw,h/ih); dw,dh=iw*sc,ih*sc
    c.setFillColor(white); c.rect(x,y-h,w,h,fill=1,stroke=0)
    c.drawImage(ImageReader(im),x+(w-dw)/2,y-h+(h-dh)/2,width=dw,height=dh,mask='auto')
    c.setStrokeColor(RED); c.setLineWidth(1); c.rect(x,y-h,w,h,fill=0,stroke=1)

def make_pdf():
    p=f'{OUT}/GB_Perforation_with_Biloma_Poster_Revised.pdf'; c=canvas.Canvas(p,pagesize=(W,H)); c.setTitle('Gallbladder Perforation with Biloma Formation')
    c.setFillColor(white); c.rect(0,0,W,H,fill=1,stroke=0); c.setStrokeColor(RED); c.setLineWidth(4); c.rect(22,22,W-44,H-44,fill=0,stroke=1)
    c.setFillColor(RED); c.rect(24,H-184,W-48,160,fill=1,stroke=0); c.setFillColor(GOLD); c.rect(24,H-214,W-48,30,fill=1,stroke=0)
    c.setFillColor(white); c.setFont('Helvetica-Bold',31); c.drawCentredString(W/2,H-77,'GALLBLADDER PERFORATION WITH BILOMA FORMATION')
    c.setFillColor(INK); c.setFont('Helvetica-Bold',17); c.drawCentredString(W/2,H-204,'Dr Neha Kundu  |  Dr Naveen Kumar Singh')
    lx,rx=53,910; cw=760; y=H-250
    y=section(c,'Introduction',lx,y,cw); y=paragraph(c,intro,lx,y,cw,16,21); y-=10
    y=section(c,'Case Report',lx,y,cw); y=paragraph(c,case,lx,y,cw,16,21); y-=10
    y=section(c,'Discussion and Management',lx,y,cw); y=paragraph(c,discussion,lx,y,cw,15.3,20); y-=10
    y=section(c,'Conclusion',lx,y,cw); y=paragraph(c,conclusion,lx,y,cw,15.5,20)
    # right imagery column
    ry=H-250
    for i,(fn,cap) in enumerate(figs):
        h=220 if i<2 else 250
        image_fit(c,f'{ASSETS}/{fn}',rx,ry,cw,h); ry-=h+9
        ry=paragraph(c,cap,rx,ry,cw,12.5,15,'Helvetica-Oblique'); ry-=12
    ry=section(c,'References',rx,ry,cw)
    for r in refs: ry=paragraph(c,r,rx,ry,cw,11.5,14)
    c.setFillColor(RED); c.setFont('Helvetica-Oblique',10); c.drawCentredString(W/2,36,'Clinical images are from the present case. Patient-identifying details have been omitted from the poster text.')
    c.save(); return p

def add_text(slide,text,x,y,w,h,pts,bold=False,color=(22,22,22),align=PP_ALIGN.LEFT):
    tb=slide.shapes.add_textbox(Inches(x), Inches(y), Inches(w), Inches(h)); tf=tb.text_frame; tf.clear(); tf.word_wrap=True; tf.margin_left=0; tf.margin_right=0; tf.margin_top=0; tf.margin_bottom=0; tf.vertical_anchor=MSO_ANCHOR.TOP
    p=tf.paragraphs[0]; p.text=text; p.alignment=align; r=p.runs[0]; r.font.name='Arial'; r.font.size=Pt(pts); r.font.bold=bold; r.font.color.rgb=RGBColor(*color); return tb

def make_pptx():
    p=f'{OUT}/GB_Perforation_with_Biloma_Poster_Revised_Editable.pptx'; prs=Presentation(); prs.slide_width=Inches(24); prs.slide_height=Inches(36); s=prs.slides.add_slide(prs.slide_layouts[6])
    bg=s.background.fill; bg.solid(); bg.fore_color.rgb=RGBColor(255,255,255)
    sh=s.shapes.add_shape(MSO_SHAPE.RECTANGLE,0,0,Inches(24),Inches(2.22)); sh.fill.solid(); sh.fill.fore_color.rgb=RGBColor(153,15,53); sh.line.fill.background()
    sh=s.shapes.add_shape(MSO_SHAPE.RECTANGLE,0,Inches(2.22),Inches(24),Inches(.42)); sh.fill.solid(); sh.fill.fore_color.rgb=RGBColor(243,210,76); sh.line.fill.background()
    add_text(s,'GALLBLADDER PERFORATION WITH BILOMA FORMATION',.3,.55,23.4,.55,23,True,(255,255,255),PP_ALIGN.CENTER)
    add_text(s,'Dr Neha Kundu  |  Dr Naveen Kumar Singh',.5,2.32,23,.25,13,True,(22,22,22),PP_ALIGN.CENTER)
    def sec(title,x,y,w):
        sh=s.shapes.add_shape(MSO_SHAPE.ROUNDED_RECTANGLE,Inches(x),Inches(y),Inches(w),Inches(.35)); sh.fill.solid(); sh.fill.fore_color.rgb=RGBColor(153,15,53); sh.line.fill.background(); add_text(s,title.upper(),x+.1,y+.07,w-.2,.2,12,True,(255,255,255)); return y+.48
    lx,rx,cw=.72,12.65,10.65; y=3.0
    y=sec('Introduction',lx,y,cw); add_text(s,intro,lx,y,cw,3.0,10.2); y+=3.1
    y=sec('Case Report',lx,y,cw); add_text(s,case,lx,y,cw,3.0,10.2); y+=3.1
    y=sec('Discussion and Management',lx,y,cw); add_text(s,discussion,lx,y,cw,7.0,9.7); y+=7.15
    y=sec('Conclusion',lx,y,cw); add_text(s,conclusion,lx,y,cw,1.2,10.2)
    ry=3.0
    for fn,cap in figs:
        s.shapes.add_picture(f'{ASSETS}/{fn}', Inches(rx), Inches(ry), width=Inches(cw), height=Inches(3.4)); add_text(s,cap,rx,ry+3.46,cw,.42,8.3,False,(65,65,65)); ry+=4.0
    ry=sec('References',rx,ry,cw); add_text(s,'\n'.join(refs),rx,ry,cw,4.6,8.1)
    prs.save(p); return p

if __name__=='__main__': print(make_pdf()); print(make_pptx())