3 days after a laparoscopic cholecystectomy for acute calculous cholecystitis which appeared to be straight forward, a 60-year-old man was noticed to be slightly jaundiced. Liver function tests showed marked elevation in both bilirubin and alkaline phosphatase. What's the most likely diagnosis?
سؤال مجاني 8 من 10 اليوم · اشترك وكمّل بدون حد
اعرض الإجابة
الإجابة والشرح
ادخل لحسابك عشان نحفظ إجاباتك ونوريك أخطاءك.
الإجابة: C. retained common bile duct (CBD) stones
✓ مطابق للمصدر
gallbladder - Afnan.pdf · p. 11
Jaundice a few days after cholecystectomy, with a cholestatic pattern (marked bilirubin and ALP), means the bile duct is obstructed. Of the options, this fits a retained (missed) CBD stone, a recognised complication of cholecystectomy.
- A slipped cystic artery ligature causes bleeding, not obstructive jaundice.
- Liver or pancreatic injury would not give this isolated obstructive picture.
- المصدر
- gallbladder - Afnan.pdf · p. 11
Gallbladder Conditions -.pdf · p. 6 - المحاضرة
- Gallbladder Conditions · General Surgery · Module D
- ظهر في
- Surgery QB (Module D) p. 82 Q58