A 55-year-old female came to ER with crampy abdominal pain. On plain film of her abdomen, you notice multiple air fluid levels and distention of her small bowel. Her colon appears decompressed. She also has pneumobilia despite never having surgery before or manipulation of the biliary system. The most appropriate next action is?
سؤال مجاني 1 من 10 اليوم · اشترك وكمّل بدون حد
اعرض الإجابة
الإجابة والشرح
ادخل لحسابك عشان نحفظ إجاباتك ونوريك أخطاءك.
الإجابة: B. Exploratory laparotomy
SBO (dilated small bowel, air-fluid levels, collapsed colon) plus pneumobilia with no previous biliary surgery or instrumentation means gallstone ileus. A gallstone passes through a cholecystoenteric fistula and lodges in the ileum, causing an intraluminal mechanical obstruction. Acute mechanical obstruction is an indication for surgery, so the next step is exploratory laparotomy to relieve the obstruction (remove the stone).
- ERCP, a cholecystostomy tube or antibiotics do not relieve an ileal obstruction.
- المصدر
- 11• Biliary Tract Diseases [Notes].pdf · p. 4
Bowel obstruction - Afnan.pdf · p. 35
INTESTINAL OBSTRUCTION.pdf · p. 20 - المحاضرة
- Bowel obstruction · General Surgery · Module D
- ظهر في
- Surgery QB (Module D) p. 48 Q67 · Surgery QB (Module D) p. 84 Q64