124

Published on 10/05/2015 by admin

Filed under Gastroenterology and Hepatology

Last modified 10/05/2015

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CASE 124

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History: A 54-year-old woman presents with right upper quadrant pain, jaundice, and fever.

1. What should be included in the differential diagnosis of the imaging finding shown in Figure A? (Choose all that apply.)

A. Mirizzi’s syndrome

B. Lymphadenopathy

C. Bouveret’s syndrome

D. Cholangiocarcinoma

E. Gallbladder carcinoma

2. What is the mechanism of Mirizzi’s syndrome?

A. A gallstone eroded into the common hepatic duct

B. A gallstone passed into the common bile duct

C. A gallstone impacted in the cystic duct

D. A gallstone eroded into the duodenum

3. What major iatrogenic complication is associated with this condition?

A. Surgical ligation of the common hepatic duct

B. Cholecystoduodenal fistula formation

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