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Peter Devitt
Department of Surgery
Royal Adelaide Hospital


This case should be considered in the context of the case entitled:  'Are you ready to come down to the pub...?' It is suggested you go through that case first. This case is very out-of-date and in distinction should concentrate on the management of the underlying pathology - common duct stones . The topic is important and the underlying problem is a common and important cause of 'the acute abdomen.' The classification system needs updating, as do the various investigations. The place of ERCP, MRCP and early surgical intervention need to be more fully described. If you would like to take over this case, update it and make it something for your CV, please contact the author.

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