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Previous Volume 336:879-880 March 20, 1997 Number 12 Next

	Since this article has no abstract, we have provided an extract of the first 100 words of the full text and any section headings.

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To the Editor: Gallstone ileus results in considerable morbidity and mortality. Ileus is due to obstruction of the bowel by a large biliary stone that wedges in the terminal ileum or any other intestinal location (e.g., the colon). Prior formation of a cholecystoenteric fistula is common and has usually resulted from gallstone perforation of the duodenum or the colon. The occurrence of subsequent pneumobilia provides a strong clue to the diagnosis of gallstone ileus, but it is not found in all patients. Nonetheless, barium examination should be avoided in cases of acute abdominal illness.

First, barium administration in a patient . . . [Full Text of this Article]

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