Cholecystoduodenocolic fistula and gallstone ileus.

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Cholecystoduodenocolic fistula and gallstone ileus.

A patient with cholecystoduodenocolic fistula and gallstone ileus is described. Barium enema and barium meal and follow through demonstrated the passage of the gallstone from the gallbladder region to the small bowel. The clinical features and operative management are discussed in the light of four previously recorded cases.

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and gallstone ileus . Cholecystoduodenocolic fistula

Gallstone ileus is usually seen in conjuction with a cholecystoduodenal fistula but may also be associated with cholecystogastric or cholecystocolic fistulae (Andersson and Zederfeldt, 1969; Wakefield, Vickers and Walters, 1939). However, a double communication between the gallbladder and both the duodenum and colon is rare in this condition, only four previous cases having been recorded in the...

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Evolution of entero-biliary fistula following gallstone ileus management.

DESCRIPTION A healthy 78-year-old man was admitted with a 3-day history of epigastric pain and bilious vomiting. Ultrasound revealed cholelithiasis with a normal calibre common bile duct. The patient subsequently underwent an upper gastrointestinal endoscopy which demonstrated a large duodenal defect consistent with an entero-biliary fistula (figure 1). Abdominal CT demonstrated small bowel dil...

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Recurrent gallstone ileus.

We present the case of a recurrent gallstone ileus in a 76-year old female patient, which presented at our emergency department on January 15th 2015. In both episodes (January 16th and February 1st, 2015), only a simple enterotomy with stone extraction was performed. One year later, she is fully recovered and in good health. Recurrent gallstone ileus most often occurs in elderly patients with m...

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Recurrent gallstone ileus.

Mechanical small bowel obstructions caused by gallstones account for 1% to 3% of cases. In these patients, 80% to 90% of residual gallstones in these patients will pass through a remaining fistula without consequence. Recurrent gallstone ileus has been reported in 5% of patients. We report the case of a woman, aged 72 years, who presented with mechanical small bowel obstruction caused by gallst...

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ژورنال

عنوان ژورنال: Postgraduate Medical Journal

سال: 1984

ISSN: 0032-5473

DOI: 10.1136/pgmj.60.708.698