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Images in Clinical Medicine
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Volume 336:266 January 23, 1997 Number 4
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Cholecystoduodenal Fistula

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Figure 1A.




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Figure 1. A 69-year-old man with no prior biliary surgery had intermittent, self-limited episodes of fever and chills for three months and a cholestatic pattern of liver-enzyme elevations. A diagnosis of recurrent cholangitis due to cholelithiasis was made, and radiologic studies revealed a cholecystoduodenal fistula.

 
Figure 1B.

Figure 1C.


Nina Singh, M.D.
Kevin Stempel, M.D.
Veterans Affairs Medical Center
Pittsburgh, PA 15240




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