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At the time the case was submitted for publication Mohamed Mahmoud Elthokapy had no financial relationships to ineligible companies to disclose.View Mohamed Mahmoud Elthokapy's current disclosures
Epigastric pain, nausea, fever, and vomiting as well as jaundice in an old patient with a previous diagnosis of calcular cholecystitis on ultrasound studies 10 years prior.
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Irregular-shaped gallbladder with thick wall and intraluminal gas. No evidence of radiodense gallstones. Gas within the intra-and extrahepatic biliary tree (pneumobilia). Probable fistulous tract connecting the gallbladder and the duodenum.
Cholecystoduodenal fistulas represent a complication of neglected cholelithiasis and are the most common type of entero-biliary fistulous communication.