Karnataka PGET Surgery MCQ Answer 4
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An acutely inflamed gall bladder may create a cholecystoenteric fistula by adhering to and causing a perforation in other parts of the gastrointestinal tract. The most common sites for fistulas are the duodenum and the hepatic flexure of the colon. Decompression of the gall bladder because of a fistula may cause resolution of the acute cholecystitis. Air in the biliary tree (pneumobilia) can be seen on abdominal radiographs, and imaging enhanced with contrast agents may show fistulas.
The standard treatment of cholecystocolic fistula is open cholecystectomy and closure of fistula.
Tags: MCQ, Surgery, Cholecystoenteric Fistula
Category: Karnataka PGET 2007 MCQs
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