Gallstone ileus resulting in strong intestinal obstruction

Mechanic intestinal obstruction, caused by the passage of biliary calculus from vesicle to intestine, through fistulization, although not frequent, deserve study due to the morbi-mortality rates. Incidence in elder people explains the association with chronic degenerative diseases, increasing comple...

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Bibliographic Details
Published in:São Paulo medical journal 1995, Vol.113 (1), p.721-725
Main Authors: Szajnbok, I, Lorenzi, F, Rodrigues Júnior, A J, Zantut, L F, Poggetti, R S, Steinman, E, Birolini, D
Format: Article
Language:English
Subjects:
Aged
Aged, 80 and over
Biliary Fistula - diagnosis
Biliary Fistula - surgery
Cholelithiasis - complications
Cholelithiasis - diagnosis
Cholelithiasis - surgery
Colycist-enteric (biliodigestive) fistule
Female
Gallstone ileus
Humans
Intestinal Fistula - diagnosis
Intestinal Fistula - surgery
Intestinal obstruction
Intestinal Obstruction - diagnosis
Intestinal Obstruction - etiology
Intestinal Obstruction - surgery
Male
MEDICINE, GENERAL & INTERNAL
Postoperative Complications
Preoperative Care
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Summary:Mechanic intestinal obstruction, caused by the passage of biliary calculus from vesicle to intestine, through fistulization, although not frequent, deserve study due to the morbi-mortality rates. Incidence in elder people explains the association with chronic degenerative diseases, increasing complexity in terms of therapy decision. Literature discusses the need and opportunity for the one or two-phase surgical attack of the cholecyst-enteric fistule, in front of the resolution on the obstructive urgency and makes reference to Gallstone Ileus as an exception for strong intestinal obstruction. The more frequent intestinal obstruction observed is when it occurs a Gallstone Ileus impacting in terms of ileocecal valve. The authors submit a Gallstone Ileus manifestation as causing strong intestinal obstruction, discussing aspects regarding diagnostic and treatment.
ISSN:1516-3180
1806-9460
1516-3180
DOI:10.1590/S1516-31801995000100010