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126529 Surgery

A three year old male child presents with history of constipation and abdominal distension for the last two years. The plain radiograph of abdomen reveals fecal matter containing distended bowel loops. A barium enema study done subsequently shows a transition zone at the recto-sigmoid junction with reversal of recto-sigmoid ratio. The most probable diagnosis is ?

AAnal atresia
BMalrotation of the gut
CHirschsprung's disease
DCongenital megacolon
Surgery
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126530 Surgery

A 40-year-old man sustained injuries to the liver, gallbladder, small intestine, and colon from gunshot wounds. At the time of surgery, a cholecystostomy was placed in the injured gallbladder to expedite operative management. Four weeks later, the patient is doing well. Which is the next step in management?

ARemove the cholecystostomy tube.
BPerform a cholangiogram through the cholecystostomy tube.
CPerform a cholecystectomy.
DPerform a choledochoduodenostomy.
Surgery
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