A very old lady, air in biliary tree, colicky abdominal pain with distension and hyper peristaltic abdominal sounds diagnosis
Ans. (a) Gall stone ileusRef: Sabiston 20th edition Page 1506* This is due to Cholecysto duodenal fistula which results in Pneumobilia and Obstruction
Gall stone ileus
Hemobilia
Cholangitis
Pneumobilia
Gall Bladder & Bile Ducts