Gallstone Ileus
DOI:
https://doi.org/10.51481/amc.v47i1.176Keywords:
Íleo biliar, obstrucción intestinal, fístula colecistogástrica, gallstone ileus, intestinal obstruction, cholecystogastric fistulaAbstract
Gallstone ileus is a clinical entity of difficult diagnosis;it is the result of an anomalous communication between thebiliary tree and the gastrointestinal tract, with the eventualevacuation of the gallstone which becomes impacted in thedistal tract where it causes intestinal obstruction.
We report the case of a 47-year-old male, without rele-vant past medical history, who arrived to the emergencyroom with epigastric and right upper quadrant pain, feverand vomiting. The abdominal ultrasound showed acutecholecystitis. A conventional abdominal film showed air-filled small bowel loops and a fixed loop in the right upperquadrant. An exploratory laparotomy revealed a cholecys-togastric fistula and intestinal obstruction secondary to animpacted gallstone in the mid - ileum. Cholecystectomy,enterolithotomy, enterorraphy, and fistula repair were per-formed in one stage.
We reviewed the literature regarding gallstone ileusmanagement to examine the controversy that still existswhen dealing with surgical indications in this entity.
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