Chirurgia Generale, Azienda Ospedaliera di Padova, Via Giustiniani 2, 35128, Padova, Italy.
Updates Surg. 2011 Sep;63(3):219-21. doi: 10.1007/s13304-011-0057-8. Epub 2011 Mar 11.
The authors report a case of gallstone ileus of the sigmoid colon in an 80-year-old woman admitted to the hospital with symptoms and signs of large bowel obstruction and asymptomatic cholelithiasis. Radiological investigation (abdominal X-ray and CT scan) showed a large gallstone impacted in the sigmoid colon. At first, the patient was managed conservatively, but the recurrence of the intestinal obstruction required open cholecystectomy, suturing of the colonic fistula and sigmoidectomy.
作者报告了一例 80 岁女性的胆囊结石性回肠梗 阻病例，该患者因大肠梗阻的症状和体征以及无症状性胆石症而入院。影像学检查（腹部 X 射线和 CT 扫描）显示有一个大的胆囊结石嵌顿在乙状结肠。起初，患者接受了保守治疗，但肠梗阻再次发作，需要进行开腹胆囊切除术、结肠瘘缝合术和乙状结肠切除术。
