Item 270
A 27-year-old man underwent celiotomy for blunt abdominal trauma. Injury to his duodenum and pancreas was noted and his postoperative course was complicated by development of a pancreatic pseudocyst. This was drained percutaneously, but drainage at the rate of 500 mL/day has persisted over the last three months. The last pancreatogram is shown.
The appropriate therapy would now be
continued observation
Roux-en-Y loop to the drainage tract
low-dose radiation therapy
distal pancreatectomy
endoscopic retrograde cholangiopancreatogram and dilatation
For the incomplete statement above select the one completion that is BEST.
For the critique of item 270 see page 376.
Footnotes
(Reproduced by permission from SESAP ‘96–’98 Syllabus Surgical Education and Self-Assessment Program, Volume 1, 9th edition. For enrolment in the Surgical Education and Self-Assessment Program, please apply to the American College of Surgeons, 55 East Erie St., Chicago, IL 60611, USA.)