All are true about gallstone ileus except: (A) May be diagnosed with abdominal X-Ray, (B) Most common fistula is to duodenum, (C) Tumbling obstruction, (D) Cholecystectomy should be done In same episode
Answer is D. Most patients in Gallstone ileus are unstable to withstand a Prolonged operative procedure, so cholecystectomy should not be done in same episode Fistula can be addressed at a second laparotomy Ref: Sabiston 20th edition Pgno :1506-1507