03-05-2010, 06:31 AM
Six days after undergoing a laparoscopic cholecystectomy for acute cholecystitis, a 35-year-old woman comes to the physician because of fever and abdominal pain for 3 days. She is jaundiced. Her temperature is 38°C (100.4°F). Abdominal examination shows distention and incisions that are healing normally. Leukocyte count is 12,000/mm3, and total serum bilirubin level is 7.9 mg/dL. Which of the following is the most likely cause of the jaundice?
A) Anesthetic-related hepatitis
B) Common bile duct injury
C) Fulminant hepatic failure
D) Reaction to perioperative antibiotics
E) Subhepatic abscess
A) Anesthetic-related hepatitis
B) Common bile duct injury
C) Fulminant hepatic failure
D) Reaction to perioperative antibiotics
E) Subhepatic abscess