Intestinal obstruction secondary to biliary ileus
Hirosawa-Oishi, T.; Rosas-Salas, C.V.ón.; Kimura-Fujikami, Y.; Velasco-Ospina, C.
Revista de Gastroenterologia de Mexico 67(1): 34-37
2002
ISSN/ISBN: 0375-0906 PMID: 12066429 Document Number: 544695
To discuss diagnostic and therapeutic implications of gallstone ileus and to report the case of a patient seen at our Hospital due to an intestinal obstruction secondary to gallstone ileus. A 63 years old male with intestinal obstruction secondary to gallstone ileus. Several studies were performed, such as panendoscopy, upper gastrointestinal series, and intestinal transit with poor results preventing a definitive diagnosis. For this reason, the patient underwent an exploratory laparotomy, which showed in this a grant gallstone in a giant jejunum. Enterotomy, gallstone extraction, and enteroraphy. The intestinal obstruction secondary to gallstone ileus is a clinical entity of difficult diagnosis. Accompanying studies usually have low sensibility because other pathologic entities are considered prior to thinking of ileus gallstone.