Snapshot quiz 19/8

Published: 03/26/2019

Authors: Triantafyllou T and Theodorou D

Gallstones. This patient presented with postprandial vomiting, dehydration and weight loss. Upper gastrointestinal endoscopy could not be completed due to gastric food retention. CT confirmed pyloric obstruction and pneumobilia,with a dilated common bile duct (9mm). At exploratory laparotomy an anterior gastrotomy revealed many cholesterol gallstones in the stomach, causing pyloric obstruction. The cause was a gastrobiliary fistula, the result of longstanding untreated choledocholithiasis

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