Martín-Pérez Jesica, Delgado-Plasencia Luciano, Bravo-Gutiérrez Alberto, Burillo-Putze Guillermo, Martínez-Riera Antonio, Alarcó-Hernández Antonio, Medina-Arana y Vicente
Servicio de Cirugía General y Digestiva, Hospital Universitario de Canarias, La Laguna, Tenerife, España.
Cir Esp. 2013 Oct;91(8):485-9. doi: 10.1016/j.ciresp.2013.01.021. Epub 2013 Sep 17.
Gallstone ileus is an uncommon type of mechanical intestinal obstruction caused by an intraluminal gallstone, and preoperative diagnosis is difficult in the Emergency department. This study is a retrospective analysis of the clinical presentation of 5 patients with gallstone ileus treated between 2000-2010. Clinical features, diagnostic testing, and surgical treatment were analyzed. Five patients were included: 2 cases showed bowel obstruction; 2 patients presented a recurrent gallstone ileus with prior surgical intervention; and one patient presented acute peritonitis due to perforation of an ileal diverticula. In all cases CT confirmed the preoperative diagnosis. In our experience, gallstone ileus may present with clinical features other than intestinal obstruction. In suspicious cases CT may be useful to decrease diagnostic delay, which is associated with more complications.
胆石性肠梗阻是一种由腔内胆结石引起的罕见的机械性肠梗阻类型，在急诊科进行术前诊断很困难。本研究是对2000年至2010年间接受治疗的5例胆石性肠梗阻患者临床表现的回顾性分析。分析了临床特征、诊断检查和手术治疗情况。纳入5例患者：2例表现为肠梗阻；2例既往有手术干预史，出现复发性胆石性肠梗阻；1例因回肠憩室穿孔出现急性腹膜炎。在所有病例中，CT均证实了术前诊断。根据我们的经验，胆石性肠梗阻可能表现出肠梗阻以外的临床特征。在可疑病例中，CT可能有助于减少诊断延迟，而诊断延迟会导致更多并发症。
