PATHOLOGY MCQ
BILIARY
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Question
[CLICK ON ANY CHOICE TO KNOW THE RIGHT ANSWER]
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What is the first-line therapeutic option of choice for a partial (not circumferential) distal bile duct injury identified 48 hours after surgery?
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Roux-en-Y hepaticojejunostomy
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Choledochoduodenostomy
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Primary repair of the injury over a T tube
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Resection and end-to-end bile duct anastomosis
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Endoscopic placement of a covered bile duct stent across the injury
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Explanation:
Detailed explanation-1: -Role of ultrasound Ultrasound imaging is commonly considered the first-choice method in the diagnostic process of bile duct diseases.
Detailed explanation-2: -Standard external diameters of plastic biliary stents are 7.0, 8.5, 10.0, and 11.5 Fr. They can be straight, curved, wedge, angled, winged, with single or double pigtail (rarely used), and with center bend and/or duodenal bend.
Detailed explanation-3: -Magnetic resonance cholangiopancreatography (MRCP) is used for the diagnosis of biliary obstructions and pancreatic disease.
There is 1 question to complete.