A 50-year-old patient on his 1st post-operative day after laparoscopic cholecystectomy repoed bile coming from the mid-clavicular po site. USG abdomen was done. What is the most appropriate next step in the management of the patient: -
There is a collection of fluid in the Morison's pouch post cholecystectomy. The USG abdomen reveals fluid in the Morison's pouch. Drainage of bile collected is the primary objective. Done with percutaneous drainage or endoscopic biliary drainage. Image A shows percutaneous drainage. Image B shows exploratory laparotomy. Image D shows Roux-en-Y hepaticojejunostomy.
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Observation
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