Dobrovolskiĭ S R, Ivanov M P, Nagaĭ I V
Kafedra gospital'noĭ khirurgii Rossiĭskogo universiteta druzhby narodov i Gorodskaia bol'nitsa No. 17, Moskva.
Khirurgiia (Mosk). 2004(3):51-5.
Three cases of intestinal obstruction due to obturation with gallstones are presented. These patients made 1,3% of all patients operated for acute intestinal obstruction and 0,2% of all patients operated for cholelithiasis. This variant of intestinal obstruction is rare disease and is not characterized with a typical picture and specific symptoms. Analysis of complaints, anamnesis, additional methods of abdominal examination help to suspect biliary ileus. In emergency cases scope of surgery must be minimal and directed to adequate elimination of intestinal obstruction. Indications for simultaneous disjunction of biliodigestive fistula depend on many factors which must be regarded individually for each patient.
本文报告了3例因胆结石阻塞导致肠梗阻的病例。这些患者占所有接受急性肠梗阻手术患者的1.3%，占所有接受胆结石手术患者的0.2%。这种肠梗阻变体是一种罕见疾病，没有典型的表现和特定症状。对主诉、病史以及腹部检查的其他方法进行分析有助于怀疑胆石性肠梗阻。在紧急情况下，手术范围必须最小化，并旨在充分解除肠梗阻。同时分离胆肠瘘的指征取决于许多因素，必须针对每个患者分别考虑。
