A previously healthy 85-year-old man is brought to the hospital with a 2-day history of nausea and vomiting. He has not passed gas or moved his bowels for the last 3 days. Abdominal films show dilated small bowel, air in the biliary tree and no air in the rectum. Which of the following fistulas could most likely be causing this condition?
سؤال مجاني 10 من 10 اليوم · اشترك وكمّل بدون حد
اعرض الإجابة
الإجابة والشرح
ادخل لحسابك عشان نحفظ إجاباتك ونوريك أخطاءك.
الإجابة: A. Cholecystoduodenal
Small bowel obstruction with air in the biliary tree (pneumobilia) in an elderly patient means gallstone ileus. A large gallstone erodes through a cholecystoduodenal fistula and impacts in the terminal ileum. Gastrocolic and enterocolic fistulas do not connect to the biliary tree, so they would not cause pneumobilia.
- المصدر
- gallbladder - Afnan.pdf · p. 10
Gall bladder stones.pdf · p. 10 - المحاضرة
- Gallbladder Conditions · General Surgery · Module D
- ظهر في
- Surgery QB (Module D) p. 74 Q22