A very old lady, air in biliary tree, colicky abdominal pain with distension and hyper peristaltic abdominal sounds diagnosis
Correct Answer: Gall stone ileus
Description: Ans. (a) Gall stone ileusRef: Sabiston 20th edition Page 1506* This is due to Cholecysto duodenal fistula which results in Pneumobilia and Obstruction
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