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⏱️ 200s
🌱 Beginner Level — 0 / 50
Complications of Biliary Disorders — Gallstone Ileus
A 73-year-old woman with abdominal distension, vomiting, and prior gallstone disease. CT shows small bowel obstruction with ectopic gallstone and pneumobilia.
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💡 Hint: Correct order adjusted to match available steps.
Avoid prolonged conservative management once diagnosis is clear
IV fluids, NG decompression, correction of electrolytes
Consider cholecystectomy and fistula repair in select patients
Surgical enterolithotomy to relieve obstruction
CT abdomen shows Rigler triad: SBO, ectopic stone, pneumobilia
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