October 1970

Cholecysto-duodeno-colic Fistula With Gallstone Ileus

Author Affiliations

Miami Beach, Fla, and Coral Gables, Fla
From the departments of surgery (Dr. Shocket) and medicine (Drs. Evans and Jonas), St. Francis Hospital, Miami Beach, Fla, School of Medicine, Coral Gables, Fla.

Arch Surg. 1970;101(4):523-526. doi:10.1001/archsurg.1970.01340280075020

A 64-year-old man with fecal vomiting is the 20th patient recorded with a cholecysto-duodeno-colic fistula and the second to have a concomitant gallstone ileus. All 20 cases have been due to complicated cholelithiasis. A survey reveals the cardinal features to be that of vomiting (often feculent), air in the biliary tree on roentgenograms, and the invariable demonstration by barium enema of a colonic fistula.