Abstract
A 73-year-old woman was suspected to have gallstone ileus from abdominal simple X-ray film and ultrasonography. Preoperative alimentary examination revealed a cholecystoduodenal fistula, and freeing of the ilues was successfully performed. Gallstone ileus commonly occurs in aged people and we often have difficulties in diagnosis because its ileus condition prevent from sufficient preoperative diagnosing. Abdominal simple X-ray film and ultrasonographic examination are simple methods to offer some convincing holds suspecting the disease. For this disease conservative treatment is first selected, however, the majority of cases demaned surgical operation. Radical treatment for internal biliary fistula is not always necessary if biliary residual stones are not found. In this case which had no residual stones but had high risks, no biliary radical operation was carried out.
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Schedule a callMore From: The journal of the Japanese Practical Surgeon Society
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