Medical MCQ-A patient underwent laparoscopic cholecystectomy and was discharged on the same day. On postoperative day 3, he presented to the hospital with fever. Ultra-sonography showed a 5 x 5 cm collection in the right sub diaphragmatic region. What will be the manage!ment?

A patient underwent laparoscopic cholecystectomy and was discharged on the same day. On postoperative day 3, he presented to the hospital with fever. Ultra-sonography showed a 5 x 5 cm collection in the right sub diaphragmatic region. What will be the manage!ment?

Observe with antibiotic cover

Re-explore the wound with T-tube inseion

Pigtail inseion and drainage

ERCP and proceed

Question Category:

Surgery

Correct Answer:

Pigtail inseion and drainage

Description:

Answer- C. Pigtail inseion and drainageThis patienl is most likely having a biliary leak from the cystic duct stump, which has formed a large 5 x 5 cm collection.Such a patient needs to be managed with intravenous antibiotics as well as drainage of the collections (as it acts as source of injection). Ultrasound guided pigtail inseion is the easiest method to obtain adequate drainage of the bile leak.

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