[Problem of the restoration of the bile ducts in gallstone ileus]

Survey of 4 patients suffering from gallstone-ileus followed up after 25 months, we performed for i.v. cholangiography and barium meal follow through, and we found in 2 cases a fistula between duodenum and the gallbladder. These patients did not present with any particular symptoms. In view of this we discussed the possibilities of surgical management.