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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

https://doi.org/10.1136/gut.2008.158667

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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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    Footnotes

    • Robin Spiller, editor

    • Competing interests: None.

    • Patient consent: Obtained.

    Linked Articles

    • Editor's quiz: GI snapshot
      Answer
      BMJ Publishing Group Ltd and British Society of Gastroenterology
      Gut 2008; 58 89-89 Published Online First: 17 Dec 2008. doi: 10.1136/gut.2008.158667a