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How can a large gallstone give rise to chronic diarrhoea?
  1. F Parente,
  2. A Colli,
  3. M Costa,
  4. S Bargiggia,
  5. S Greco
  1. Gastrointestinal Unit, Division of Internal Medicine, Division of General Surgery, A. Manzoni Hospital, Lecco, Italy
  1. Dr S Greco, Gastrointestinal Unit, Division of Internal Medicine, Division of General Surgery, A. Manzoni Hospital, Via dell'Eremo 911, 23900, Lecco, Italy; salvatore.greco{at}unimi.it

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CLINICAL PRESENTATION

A 78-year-old man was admitted to our department complaining of chronic diarrhoea, fatigue and weight loss persisting for 3 months and complicated, during the previous 2 weeks, by episodes of intermittent fever (maximum, 38.5°C). On physical examination, the patient appeared to be malnourished but anicteric and with no stigmata …

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