From 1945 to 1976 the authors observed 19 patients with internal biliodigestive fistulae. 2 types of the clinical picture were noted: cholangitis phenomena and acute cholelithic ileus. In one patient only internal biliodigestive fistulae were diagnosed preoperatively. All the patients were operated upon. Some technical difficulties due to an inflammatory infiltration in the right hypochondrium tissues were noted.

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