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Article |

Cholecystoduodenocolic Fistula With Recurrent Gallstone Ileus

Jose C. Pangan, MD; Rodegelio Estrada, MD; Ricardo Rosales, MD
Arch Surg. 1984;119(10):1201-1203. doi:10.1001/archsurg.1984.01390220075017.
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• The combination of cholecystoduodenocolic fistula with gallstone ileus is rarely seen. To our knowledge, there have only been six previous reports with these findings. A 66-year-old woman's condition was diagnosed preoperatively as small-bowel obstruction and communications between the gallbladder, duodenum, and colon. The small-bowel obstruction was successfully relieved by removing a large gallstone from the midileum, leaving the inflammatory mass in the right upper quadrant undisturbed. Three weeks later the small-bowel obstruction recurred. At reoperation two gallstones were found obstructing the midileum and were removed. The cholecystoduodenocolic fistula was dissected and the duodenum and colon were repaired. A cholecystostomy was done. The patient recovered and has been well four years later.

(Arch Surg 1984;119:1201-1203)


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