Incidentally diagnosed coecum cancer during the operation on gallstone – ileus – A case report

Introduction: Cholecystoduodenal fistula is a rare, but dangerous complication of the biliary stone disease. Gallstones can migrate into the bowel via this fistula and can cause ileus, typically at the level of terminal ileum. Patients: A 79 years old female was admitted to our hospital because of upper gastrointestinal bleeding. She had suffered from significant cardiovascular diseases. Two years ago she developed obstructive jaundice which was resolved by endoscopic papillotomy and stone extraction. Subsequent cholecystectomy was not performed considering her cardiovascular state. At present admission urgent g…