Gallstone ileus as a cause of upper intestinal obstruction.

Autor: Szajnbock I; Hospital das Clínicas, College of Medicine, University of São Paulo (USP), Brazil., Lorenzi F, Rodrigues Júnior AJ, Zantut LF, Poggetti RS, Steinman E, Birolini D
Jazyk: angličtina
Zdroj: Sao Paulo medical journal = Revista paulista de medicina [Sao Paulo Med J] 1996 Jul-Aug; Vol. 114 (4), pp. 1239-43.
DOI: 10.1590/s1516-31801996000400009
Abstrakt: Gallstone ileus, a mechanical intestinal obstruction caused by the passage of a gallstone into the intestinal lumen through a fistula, although not common, deserves to more carefully studied due to its morbidity and mortality. Its incidence among older-age groups explains its association with chronic and degenerative diseases, which increase the complexity of the treatment choice. The need and appropriateness of a surgical approach to a cholecystenteric fistula to solve the obstructive emergency, in a one or two stage procedure, has been discussed in the literature. It has also been reported that gallstone ileus is an uncommon cause of upper intestinal obstruction. Intestinal obstruction is seen more frequently after a gallstone impacts at the ileocecal valve. The authors report a case of gallstone ileus as a cause of upper intestinal obstruction and discuss its diagnosis and treatment.
Databáze: MEDLINE