Which of the following parts of the intestine is most likely to initially contain gallstones?
A 42-year-old obese woman with seven children is brought to a local hospital by her daughter. Physical examination and her radiograph reveal that large gallstones have ulcerated through the posterior wall of the fundus of the gallbladder into the intestine.
A. Cecum B. Ascending colon C. Transverse colon D. Descending colon E. Sigmoid colon
Transverse colon-the fundus of the gallbladder is in contact with the transverse colon and thus gallstones erode through the posterior wall of the gallbladder and enter the transverse colon. they are passed naturally to the rectum through the descending colon and sigmoid colon. gallstones lodged in the body of the gallbladder may ulcerate through the posterior wall of the body of the gallbladder into the duodenum (because the gallbladder body is in contact with the duodenum) and may be held up at the ileocecal junction, producing an intestinal obstruction.