Bile duct injury
Bile Duct Injury Awareness Quiz
Test your knowledge on bile duct injuries that can occur after cholecystectomy. This quiz provides essential insights into symptoms, complications, and management of bile leaks.
- 10 Multiple Choice Questions
- Assess your understanding of biliary injuries
- Learn from detailed explanations of each question
All of the following symptoms on POD#7 should prompt a workup following uncomplicated cholecystectomy EXCEPT:
Fever
Jaundice
Pain requiring narcotics
Diarrhea
All of the following are forms of bile leak seen after cholecystectomy except:
Cystic duct stump
Biliary radicals at the cystic plate
Left hepatic duct
Common hepatic/bile duct
On POD#4, a patient presents to the ED with abdominal pain, bilirubin of 3.8, US shows no biliary dilation, CT shows perihepatic fluid. What is the most appropriate approach?
Admission for antibiotics
Direct return to OR
Drainage of perihepatic fluid
ERCP
On POD#3 after laparoscopic cholecystectomy, patient comes in to clinic with labs from Urgent care for postop pain. Amylase is normal, bilirubin 2.7, AST 1291, ALT 996. These labs suggest which complication?
Common bile duct injury
Hepatic artery ligation
Duct of Luschka leak
Retained common bile duct stone
Which of the following scenarios is best suited to ERCP management?
Cystic duct stump leak
Complete transection of the common hepatic duct
Gallbladder fossa abscess
Which of the following is the classification system for bile duct injuries
Bismuth-Corlette
Bismuth-Strasberg
Corlette-Ardenne
Pink Bismuth
Which of the following bile duct injuries is incorrectly paired?
Type A: Cystic duct stump
B: Right posterior portal pedicle
C: Segment 4B
D: Common hepatic duct
All of the following are critical components of management of biliary injury
Urgent reconstruction
Secure biliary drainage
Control of sepsis
Drainage of inttra-abdominal fluid collections
All of the following are contraindications to immediate reconstruction except:
Age >65
Thermal injury with devitalized tissue
Clincal inexperience
Vascular injury
For delayed reconstruction, what is an appropriate interval from injury to hepaticojejunostomy
7 days
3 weeks
8 weeks
6 months
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