Roberts Ja, Lambrianides Al
Redcliffe Hospital, Redcliffe, Queensland, Austrailia.
J Surg Case Rep. 2012 Mar 1;2012(3):3. doi: 10.1093/jscr/2012.3.3.
Gallstone ileus is an uncommon complication of cholelithiasis, usually associated with an internal biliary fistula. Management of gallstone ileus is surgical with enterolithotomy the procedure of choice, followed by fistula closure either as a one or two stage procedure. In this case a 66 year old female presented with colicky abdominal pain, computed tomography (CT) clearly showing a gallstone ileus and cholecystoduodenal fistula. Despite this the patient refused surgery and went on to have spontaneous resolution of the obstruction and passage of gallstones.
胆结石性肠梗阻是胆石症的一种罕见并发症，通常与内胆管瘘有关。胆结石性肠梗阻的治疗方法是手术，首选肠石切除术，随后根据情况分一期或两期闭合瘘管。在本例中，一名66岁女性因腹部绞痛就诊，计算机断层扫描（CT）清晰显示胆结石性肠梗阻和胆囊十二指肠瘘。尽管如此，患者拒绝手术，随后肠梗阻自行缓解，胆结石也排出体外。
