Biliary Drainage in Surgery — 73yo Woman | General Surgery | SMLE Q#11137
SMLE Question #11137
Surgery
General Surgery
Objective: OBJ-TRACH-EMERG-01
Last updated: February 2026
A 73-year-old woman undergoes percutaneous transhepatic cholangiography with biliary drainage for obstructive jaundice due to choledocholithiasis. Twenty-four hours later, she develops hematemesis and melena with dizziness. Examination shows mild right upper quadrant tenderness at the drain site without peritonism. What is the most appropriate next step in management?
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