Hepatobiliary surgery: bile leak: practice question

A General Surgery question in the style of the NEET PG paper. Answer it first, then read why the right option is right and why each of the others is wrong.

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General Surgery · Hepatobiliary surgery: bile leak

Sample item

After laparoscopic cholecystectomy, a patient has increasing abdominal pain, fever, jaundice, and bilious output from a drain. What complication should be suspected?

Original practice item, not a recalled exam question. Nothing here is recorded.

The answer and the reasoning

A. Bile leak

Bile leak after cholecystectomy can arise from cystic-duct stump or biliary injury and may cause biloma, peritonitis, or sepsis. Imaging and endoscopic or surgical management are guided by severity.

Option by option

  • A. Bile leak (correct)

    Correct. Bilious drainage with pain and jaundice is highly suggestive.

  • B. Uncomplicated postoperative ileus

    Ileus causes distension and delayed bowel function, not bilious drain output.

  • C. Deep-vein thrombosis

    DVT causes limb symptoms or pulmonary embolism risk.

  • D. Incisional hernia

    Incisional hernia develops later at the wound site.

Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.

More General Surgery questions

Questions about this General Surgery question

What is the answer to this General Surgery question?

The best answer is A, Bile leak. Bile leak after cholecystectomy can arise from cystic-duct stump or biliary injury and may cause biloma, peritonitis, or sepsis.

Why is "Uncomplicated postoperative ileus" not the answer?

Ileus causes distension and delayed bowel function, not bilious drain output.

Why is "Deep-vein thrombosis" not the answer?

DVT causes limb symptoms or pulmonary embolism risk.

Why is "Incisional hernia" not the answer?

Incisional hernia develops later at the wound site.

What concept does this question test?

It tests Hepatobiliary surgery: bile leak in General Surgery. Imaging and endoscopic or surgical management are guided by severity.

How hard is this question?

We tag it as an application question: it asks you to use a fact on a patient or a finding. The tag is our own editorial judgement, not an official difficulty rating, so read the reason for every option, not only the answer.

How should I study Hepatobiliary surgery: bile leak?

Learn classic signs and eponyms alongside what they diagnose. Then use the flashcards and the other General Surgery questions on this site to test what stuck.

Is this a real NEET PG question?

No. It is an original practice item (editorial status: sample, version 1). NextPrep does not publish recalled or leaked questions, and independent faculty review of this item has not been completed yet, so confirm important facts in a standard textbook.