Haemangioma Liver

Q) False statement about haemangioma liver

a) They are the most common lesions of the liver

b) Giant haemangiomas should be resected because of malignant potential

c) Symptomaic haemangioma should be resected

d) Most of the haemangioma liver are asymptomatic

Answer

Incidence of haemangioma liver is increasing because of increased use of CT and MRI. 

Post Lap Cholecystectomy Ca Gall Bladder

Q) Post Lap cholecystectomy, biopsy comes as Ca gall bladder with invasion of peri muscular connective tissue. Most appropriate for this patient is
A. IVB &  V resection nodal clearance
B. IV B &  V plus nodal clearance with port site excision
C. Wedge excision of liver with Lymphadenectomy
D. Wedge excision, Lymphadenectomy and Port excision

Answer 

Management of Carcinoma GB after lap cholecystectomy depends on the depth of invasion of disease

a) T1a - only serosa- Read on for premium members

Diverticulitis

Q ) Hincheys grade III Diverticulitis. Management most likely to follow more interventions after an index operation is

a) Laparoscopic irrigation and exploration

b) Sigmoid Colectomy+Hartman’s

c) Primary repair with omental patch and peritoneal toilette

d )Sigmoid Colectomy with colorectal anastomosis and diverting ileostomy

Grade III diverticulitis is generalized peritonitis.

Answer for premium Q 10