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Updated: Jun 5, 2026

Endoscopic Ultrasound-Guided Biliary Drainage: Endoscopic Ultrasound-Guided Hepaticogastrostomy in Malignant Biliary Obstruction
Published on: March 25, 2022
[Biliary ileus: diagnostic and therapeutic aspects. Report of a case]
Y Narjis1, E Chelala, M Dessily
1Service de Chirurgie Générale et Digestive, C.H.U. Tivoli, La Louvière. y.narjis@yahoo.fr
Abstract:
We report a rare case of small bowel gallstone obstruction in a patient with cholecystointestinal fistula. Diagnosis of this condition is usually difficult and only achieved at surgery. We review the radiological findings, particularly the CT findings, helpful for diagnosis: ectopic gallstone, biliary gas and fistula. Early preoperative diagnosis could reduce morbidity and mortality. Treatment is surgical with enterolithotomy. There is some controversy over the need to repair the fistula.
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