You are seeing a 50- year-old female with evidence of small bowel obstruction. She has no obvious external hernia previous surgery. On further questioning, her husband mentioned that she gall stones which were diagnosed 20 years ago. Abdominal x-ray showed pneumobilia. What is the most likely diagnosis?
سؤال مجاني 5 من 10 اليوم · اشترك وكمّل بدون حد
اعرض الإجابة
الإجابة والشرح
ادخل لحسابك عشان نحفظ إجاباتك ونوريك أخطاءك.
الإجابة: C. gallstones ileus
Small bowel obstruction + pneumobilia (air in the biliary tree) + long-standing gallstones = gallstone ileus. An inflamed gallbladder forms a fistula with the duodenum (cholecystoenteric fistula). A stone passes through it and blocks the ileum, and air goes up into the bile ducts. A neoplasm, volvulus, abscess or obturator hernia does not explain air in the biliary tree.
- المصدر
- Surgical Principles - Bowel Obstruction.pdf · p. 2
11• Biliary Tract Diseases [Notes].pdf · p. 4 - المحاضرة
- Bowel obstruction · General Surgery · Module D
- ظهر في
- Surgery QB (Module D) p. 38 Q29