PATHOLOGY MCQ
BILIARY
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Question
[CLICK ON ANY CHOICE TO KNOW THE RIGHT ANSWER]
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A 44-year-old woman who has previously undergone cholecystectomy presents with intermittent right upper quadrant pain that seems biliary in origin. Her liver function tests have been abnormal during episodes of pain, and her bile duct is dilated to 1.5 cm on magnetic resonance cholangiopancreatography. Which of the following is most appropriate?
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Empiric sphincterotomy
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Biliary manometry
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Transduodenal sphincteroplasty
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Medical therapy
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Choledochoduodenostomy
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Explanation:
Detailed explanation-1: -This is known as post-cholecystectomy syndrome (PCS). It’s thought to be caused by bile leaking into areas such as the stomach, or by gallstones being left in the bile ducts. In most cases symptoms are mild and short-lived, but they can persist for many months.
Detailed explanation-2: -The shoulder pain is caused by gas left in your abdomen during the operation. It will disappear on its own. When you are discharged home you will be given a pain medication to take if necessary.
There is 1 question to complete.