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Anatomy G.I.T 42f7f008

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
High-Yield Explanation
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

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