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Published on Mar 9, 2021
MCQ !
MCQ !

A 40-year-old woman is being evaluated for diffused abdominal pain. One day ago, she underwent laparoscopic cholecystectomy, with intraoperatively diagnosed Mirizzi syndrome. The dissection was challenging due to extensive tissue fibrosis around the Calot's triangle; however, no accessory duct was identified during the operation, and the cystic duct and the cystic artery were properly ligated. The patient's vitals remained stable throughout the procedure. This morning, the patient's complained of abdominal pain, describing it as "everywhere but more severe on the right side." She is currently afebrile; the morning laboratory results are within normal limits. Her abdomen is soft and non-distended, with diffused tenderness; she withdraws when the provider palpates the right upper quadrant. Bedside ultrasound reveals fluid collection inferior to the liver edge. A HIDA (hepatobiliary scintigraphy) scan confirms the bile leak, and the patient is scheduled for stent placement by ERCP. Where should the stent be inserted into to stop the bile leakage?

1.Common hepatic duct
2.Cystic duct
3.Common bile duct
4.Right hepatic duct



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