Facharzt FMH Chirurgie Practice Questions - Facharzt FMH Für Chirurgie Spécialiste FMH En Chirurgie Exam

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An 81-year-old woman with a history of recurrent biliary colic presents with vomiting, crampy abdominal pain, and abdominal distension. Abdominal CT demonstrates small bowel obstruction with dilated jejunal loops, air within the intrahepatic biliary tree (pneumobilia), and a 3.5 cm calcified intraluminal mass lodged in the terminal ileum. What is the most appropriate emergency operative procedure?

Enterolithotomy alone via longitudinal enterotomy proximal to the stone with transverse closure Emergency one-stage enterolithotomy, cholecystectomy, and cholecystoduodenal fistula takedown Right hemicolectomy with primary ileocolic anastomosis Endoscopic laser lithotripsy through retrograde colonoscopy

Correct Answer:

Enterolithotomy alone via longitudinal enterotomy proximal to the stone with transverse closure

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