On 5th postoperative day after laparoscopic cholecystectomy, a 50 years old lady presented with rt. upper quadrant pain with fever and 12 cm subhepatic collection on CT and ERCP shows cystic duct leak. The best management is –
a) Immediate laparotomy
b) Percutaneous drainage of fluid
c) Laparotomy and surgical exploration of bile duct and T-tube insertion
d) Laparoscopic cystic duct ligation & percutaneous drain
e) Roux en loop hepatojejunostomy
On 5th postoperative day after laparoscopic cholecystectomy, a 50 years old lady presented with rt. upper quadrant pain with fever and 12 cm subhepatic collection on CT and ERCP shows cystic duct leak. The best management is –
a) Immediate laparotomy
b) Percutaneous drainage of fluid
c) Laparotomy and surgical exploration of bile duct and T-tube insertion
d) Laparoscopic cystic duct ligation & percutaneous drain
e) Roux en loop hepatojejunostomy
π‘ Explanation
On 5th postoperative day after laparoscopic cholecystectomy, a 50 years old lady presented with rt. upper quadrant pain with fever and 12 cm subhepatic collection on CT and ERCP shows cystic duct leak. The best management is -
a) Immediate laparotomy
b) Percutaneous drainage of fluid
c) Laparotomy and surgical exploration of bile duct and T-tube insertion
d) Laparoscopic cystic duct ligation & percutaneous drain
e) Roux en loop hepatojejunostomy
β Correct Answer: B. bd
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