Pancreatic Head Carcinoma in Surgery — 55yo Man | General Surgery | SMLE Q#11377
SMLE Question #11377
Surgery
General Surgery
Objective: OBJ-TRACH-EMERG-01
Last updated: February 2026
A 55-year-old man with pancreatic head carcinoma and obstructive jaundice underwent percutaneous transhepatic cholangiography with external biliary drainage. Twenty-four hours later, he has one episode of moderate hematemesis with fresh blood. He has no abdominal pain or distension. The drain remains in place with bile-stained output without visible blood, and there is mild right upper quadrant tenderness at the insertion site. What is the most appropriate next step in management?
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