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Revista de la Facultad de Medicina (México)
versão On-line ISSN 2448-4865versão impressa ISSN 0026-1742
Resumo
RAMIREZ-NAVA, José Roberto; RENTERIA-PALOMO, Enrique; DELANO-ALONSO, Roberto e VALENZUELA-SALAZAR, Carlos. Bowel obstruction for gall stone ileus, surgical management. Rev. Fac. Med. (Méx.) [online]. 2019, vol.62, n.3, pp.32-37. Epub 16-Out-2020. ISSN 2448-4865. https://doi.org/10.22201/fm.24484865e.2019.62.3.06.
Background:
Gall-stone ileus is a weird complication of the lithiasic cholecyst since it represents only 1 to 3% of the bowel obstuccion cases. It was described for the first time by Bartoin in 1654, the gall-stone ileus happens due to a cronic obstruccion in the cistic duct than causes gallbladder necrosis and a bile enteric fistula. In 1941, Rigler described the classic triad for the gall-stone ileus.
Clinical case:
A 56-year-old woman that had a diagnosis of hepatic failure, suddenly presented abdominal distension, constipation and obstipation. The abdominal tomography showed data that suggested a bowel occlusion, therefore, we performed an exploratory laparotomy and found distension of the bowel loops and the presence of three gall stones, that were removed with enterolitotomy. The pacient had a good posquirurgic evolution and was discharged from hospital.
Conclusions:
The gall-stone ileus is a rare cause for bowel occlusion that requires surgical treatment; it needs a high level of suspicion for its diagnoses and management.
Palavras-chave : Gall-stone ileus; bowel occlusion; treatment.