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BILIARY TRACT
Case #4 -
An elderly woman with vomiting and abdominal distension

DISCUSSION QUESTIONS:
5.) What is the appropriate management for this condition?

Management: laparotomy with enterotomy and removal of stone from intestine, palpation of entire intestinal tract to find other stones. Either concomitant or interval cholecystectomy and fistula closure is usually indicated  
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