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Surgery
A 40 year old patient has undergone an open cholecystectomy. The procedure was repoed as uneventful by the surgeon. She has 100ml of bile output from the drain kept in the gallbladder bed on the first postoperative day. On examination she is afebrile and anicteric. The abdomen is soft and bowel sounds are normally heard. As an attending surgical resident, what should be your advice?
Order an urgent endoscopic retrograde cholangiography and biliary stenting
Urgent laparotomy
Order an urgent hepatic iminodiacetic acid scintigraphy (H1DA)
Clinical observation
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