5 days after CBD surgery there is a small leak. What will be the best treatment?: (A) Ultrasound scan of the abdomen, (B) Endoscopic cholangiography, (C) Compute tomography, (D) Magnetic resonance cholangiography
Answer is A. Ans. (a) Ultrasound guided aspirationRef: Blumgart 5/e p627* As per our Protocol- the first step is USG guided drainage - only for patients having persistent drainage we do ERCP and put Double Pig Tail Stenting.