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Everett Shocket, MD; Joseph Evans, MD; Stanley Jonas, MD

AMA Arch Surg. 1970;101(4):523-526.

Abstract
A 64-year-old man with fecal vomiting is the 20th patient recorded with a cholecysto-duodeno-colic fistula and the second to have a concomitant gallstone ileus. All 20 cases have been due to complicated cholelithiasis. A survey reveals the cardinal features to be that of vomiting (often feculent), air in the biliary tree on roentgenograms, and the invariable demonstration by barium enema of a colonic fistula.

Author Affiliations
Miami Beach, Fla, and Coral Gables, Fla

From the departments of surgery (Dr. Shocket) and medicine (Drs. Evans and Jonas), St. Francis Hospital, Miami Beach, Fla, School of Medicine, Coral Gables, Fla.

Footnotes
Accepted for publication May 21, 1970.

Reprint requests to 1680 Meridian Ave, Miami Beach, Fla 33139 (Dr. Shocket).

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ABSTRACT