Anatomy G.I.T 0a160b83

All are true about gallstone ileus except

May be diagnosed with abdominal X-Ray

Most common fistula is to duodenum

Tumbling obstruction

Cholecystectomy should be done In same episode

High-Yield Explanation

Most patients in Gallstone ileus are unstable to withstand a Prolonged operative procedure, so cholecystectomy should not be done in same episode Fistula can be addressed at a second laparotomy Ref: Sabiston 20th edition Pgno :1506-1507

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