Gallstone ileus presenting with hematemesis - 22/08/11
Doi : 10.1016/j.gie.2007.03.003
Lawrence J. Brandt, MD, Editor, At the Focal Point Section
| Commentary This case violates the clinical adage that when you hear hoof beats, you should bet on horses. Of course, gallstones can erode into the duodenum and the stomach, and present with massive upper-GI bleeding, but these are rare occurrences. One could question whether pneumobilia could have been observed earlier and, therefore, the diagnosis made sooner, but retrospectroscopy is always 20/20. In the search for zebras, however, leave no stone unturned. Lawrence J. Brandt, MD Associate Editor for Focal Points |
© 2007
American Society for Gastrointestinal Endoscopy. Pubblicato da Elsevier Masson SAS. Tutti i diritti riservati.
Vol 66 - N° 3
P. 596-597 - settembre 2007 Ritorno al numero
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