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Case Studies | Medical Science | India | Volume 12 Issue 10, October 2023

Cholecystoduodenal Fistula with Gallstone Ileus Presenting as Upper Gastrointestinal Bleeding

Ravi Shankar Bagepally ^[5] | Vijay Rampally ^[2] | Prasad Babu TLVD | Amar Chand Doddamma Reddy | Kiran Kumar Jogu

Abstract: Gallstone ileus is a rare presentation of cholelithiasis, which usually impacts at the narrowest part of the bowel, the ileocecal valve. This occurs as a result of a bilioenteric fistula where a gallstone enters the gastrointestinal tract. It may be encountered in elderly patients and predominantly in women. Abdominal computed tomography is the investigation of choice for diagnosis in majority of cases. Here, we present a 79 - year - old male patient with a choledochoduodenal fistula presenting as upper gastrointestinal bleeding and complicated by gallstone ileus.

Keywords: Cholelithiasis, Choledocholelithiasis, Hematemesis, Gall bladder

Edition: Volume 12 Issue 10, October 2023,

Pages: 551 - 554