Van Kerschaver O, Van Maele V, Vereecken L, Kint M
Sint Lucas, Gent, Belgium.
Int Surg. 2009 Jan-Feb;94(1):63-6.
A gallstone ileus is an unusual form of bowel obstruction. Colonic gallstone ileus is rare, difficult to diagnose, and still has a high mortality rate. We present a case of biliary ileus caused by an impacted gallstone, causing necrosis and perforation of the rectosigmoid junction. A Hartmann's procedure was performed to treat the perforation and the obstruction. Cholecystectomy and closure of the cholecysto-colonic fistula were delayed until restoration of the intestinal continuity.
胆石性肠梗阻是一种不常见的肠梗阻形式。结肠胆石性肠梗阻罕见，难以诊断，且死亡率仍然很高。我们报告一例由嵌顿性胆结石引起的胆石性肠梗阻病例，该结石导致直肠乙状结肠交界处坏死和穿孔。行哈特曼手术治疗穿孔和梗阻。胆囊切除术和胆囊结肠瘘关闭术推迟至肠道连续性恢复后进行。
