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Recurrent Gallstone Ileus Third Time Is the Charm

Parsia A. Vagefi, MD; Charles M. Ferguson, MD; Jason F. Hall, MD
Arch Surg. 2008;143(11):1118-1120. doi:10.1001/archsurg.143.11.1118.
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We report herein the case of a 57-year-old man who presented after the third occurrence of gallstone ileus. The patient underwent successful enterolithotomy, partial cholecystectomy, and repair of choledochoduodenal fistula. Although recurrent gallstone ileus is relatively rare, its occurrence is an indication for definitive management of the biliary-enteric fistula.

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Figure 2.

Intraoperative cholangiogram demonstrating a patent biliary tree with a nonfilling cystic duct.

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Figure 1.

Computed tomographic scan of the abdomen/pelvis. A, Air and contrast within the gallbladder fossa. B, Multiple loops of dilated small bowel with a curved opacity at the ileocolic junction.

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