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