Choledochotomy is indicated in all of the following except: (A) Palpable CBD stones, (B) History of jaundice or cholangitis, (C) Abnormal alkaline phosphatase, (D) Abnormal gamma glutamyl transferase
Answer is D. Choledochotomy Absolute indications(High Suspicion of CBD calculi) Palpable CBD stones Jaundice with cholangitis Demonstration of stone on intra operative cholangiography CBD diameter >12 mm Relative indications (Low Suspicion of CBD calculi) Jaundice without cholangitis History of pancreatitis Dilated CBD White bile on aspiration Dilated cystic duct Ref: Shackelford 7th edition Pgno : 1326-1331