A 88 years male patients presented with end stage renal disease with coronary aery block and metastasis in the lungs. Now presents with acute cholecystitis, patients relatives needs treatments to do something
Correct Answer: Tube cholecystectomy
Description: .In open cholecystectomy - After the removal of gall bladder, on table cholangiogram is done through cystic duct using water soluble iodine dye to see any stones in CBD. Using stay sutures choledochotomy is done (opened longitudinally) to remove stones in CBD. After choledochotomy, stones are removed using Des jardin's choledocholithotomy forceps. Bake's CBD dilator is used to confirm the CBD patency. - T-tube (Kehr's) is then placed in the CBD and kept for 14 days. - After 14 days a post-operative T-tube cholangiogram is done to see for free flow of dye into the duodenum, so that T-tube can be removed. ref : SRB&;s manual of surgery,3 rd ed,pg no 584
Category:
Surgery
Get More
Subject Mock Tests
Practice with over 200,000 questions from various medical subjects and improve your knowledge.
Attempt a mock test nowMock Exam
Take an exam with 100 random questions selected from all subjects to test your knowledge.
Coming SoonGet More
Subject Mock Tests
Try practicing mock tests with over 200,000 questions from various medical subjects.
Attempt a mock test now