http://www.appliedradiology.com RSS Feed on Applied Radiologyhttp://www.appliedradiology.com//Issues/1998/09/Articles/Atypical-gallstone-ileus-with-cholecystoduodenal-and-cholecystocolic-fistulas.aspxA 79-year-old female was admitted with a one-week history of watery diarrhea, diminished appetite and episodes of coffee ground emesis. Physical examination revealed abdominal distension, lower abdominal tenderness, hypoactive bowel sounds, and melanotic stool. Pertinent laboratory data indicated a slight leukocytosis with a left shift, slight anemia, mild uremia, and an electrolyte imbalance.Thursday, 21 Sep 2000 17:05:25 GMT