65 yrs old lady admitted for evaluation of symptoms of Gastric outlet obstruction/High intestinal obstruction .CECT abdomen revealed gall stone obstruction ;opperatively luminal obstruction due to gall stone about one foot distal to DJ junction Had a cholecystoduodenal fistula with first part of duodenum with lots of adhesions and anatomy not clear just relieved the obstruction and came out pt did well postoperatively is there role of exploration later or should the fistula been tackled in the same sitting
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