A case of acute cholecystitis now presents with acute pain sharp going to the back diagnosis
Correct Answer: Acute pancreatitis
Description: Ans. (a) Acute pancreatitisRef: Sabiston 20th edition Page 1496 Gall stone pancreatitis:* As GB stone passes the common channel it irritates the Pancreatic system and causes pancreatitis.* Patient's will have continued back pain even after stone passes.* Most cases of gall stone pancreatitis settles by conservative management.* If symptoms do not resolve we do ERCP and Sphincterotomy.* Dilated CBD and CBD stone gives suspicion of Gallstone pancreatitis.* Patient should be operated in same admission before discharge- Laparoscopic cholecystectomy* During surgery Intra op Cholangiogram is done to rule out CBD stones.
Category:
Surgery
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