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69248 Surgery

An 85-year-old man is brought to the hospital with a 2-day history of nausea and vomiting. He has not passed gas or moved his bowels for the last 5 days. Abdominal films show dilated small bowel, no air in the rectum and air in the biliary tree. Which of the following statements is TRUE?

AAir in the biliary tree associated with small-bowel obstruction suggests a diagnosis of gallstone ileus.
BAn enterotomy should be distal to the site of obstruction and the stone should be removed.
CGallstone ileus is more common in the young adults.
DCholecystectomy is contraindicated.
Surgery
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