False about gallstone ileus
Correct Answer: 90% patients give history of biliary disease
Description: Option B: Rigler's triad - Classic plain abdominal film of triad of small bowel obstruction, pneumobilia & ectopic gallstone Option C: pain may be episodic and recurrent as the impacted stone temporarily obstructs the bowel lumen and then dislodges and moves distally, known as tumbling obstruction Option D: most common site of biliary enteric fistula is gallbladder and duodenum So opting for option A. Ref: Sabiston 20th edition Pgno : 1506-1507
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Anatomy
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