Hirosawa-Oishi Tadashi, Rosas-Salas Claudia Verónica, Kimura-Fujikami Yukiyoshi, Velasco-Ospina Carlos
Servicio de Cirugía y Endoscopia, Hospital Santa Fe, México, D.F.
Rev Gastroenterol Mex. 2002 Jan-Mar;67(1):34-7.
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.
