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September 1964

Cholecystoduodenal Fistula and JaundiceAn Unusual Cause

Arch Surg. 1964;89(3):540-543. doi:10.1001/archsurg.1964.01320030130022

Enterobiliary fistulas are relatively uncommon complications of biliary tract disease. According to a report published in 1946, they occurred in only 4% of patients undergoing biliary tract surgery.1 In a small percentage of patients with these fistulas, jaundice exists concurrently.2 The following case report describes a previously unreported and presumably rare cause for jaundice in a patient with a chronic cholecystoduodenal fistula.

Report of Case 

BIH No. 68486.  —This was the second Beth Israel Hospital admission of a 64-year-old white male with jaundice of three days' duration.For the preceding ten years, the patient had experienced intermittent episodes of right upper-quadrant abdominal pain, occasionally associated with fever. In January, 1961, the patient was first admitted to this hospital and a diagnosis of pernicious anemia was established. At that time, an upper gastrointestinal radiologic study demonstrated an enterobiliary fistula (Fig 1), but the patient refused surgery. He was subsequently

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