Diagnosis and management of biliary ileus. About a case
DOI:
https://doi.org/10.52428/20756208.v19i46.1106Keywords:
ileus, cholelithiasis, obstructionAbstract
Gallstone ileus is a mechanical obstruction of the gastrointestinal tract caused by the impaction of one or more gallbladder stones into the intestinal lumen through a bilioenteric fistula. The present case deals with a 68-year-old female patient who came to the emergency room due to intestinal obstruction. The image showed distension of the intestinal loops, a radiopaque image in abdominal x-ray, which was corroborated by a simple CT scan of the abdomen, so it is He decided to enter the operating room due to a probable gall ileus and perform an exploratory laparatomy, finding a 5 cm diameter stone stuck in the jejunum. Gallstone ileus is a rare complication of cholelithiasis. Treatment includes rehydration and but mainly surgery to correct the cause of the intestinal obstruction.
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Copyright (c) 2024 Dr. Leonardo Gomez Gomez, Dr. Edgar Fernandez, Dr. Carlos Daza
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