Gachabayov Mahir, Mityushin Petr
Department of Abdominal Surgery, Vladimir City Clinical Hospital of Emergency Medicine, Vladimir, Russia.
J Res Med Sci. 2016 Sep 1;21:80. doi: 10.4103/1735-1995.189697. eCollection 2016.
Gallstone ileus (GI) is a mechanical obstruction of small or large bowel caused by gallstone passed to the intestinal lumen through spontaneous or postoperative biliodigestive fistula. A 42-year-old female patient was admitted with the clinical presentation of small bowel obstruction. She underwent hepaticojejunostomy 4 years prior to admission for primary sclerosing cholangitis. Barium meal follows through revealed Rigler's triad. The patient underwent laparotomy which revealed GI. A "stone on a suture" was removed through enterotomy. Patients after cholecystectomy and hepaticojejunostomy can develop GI. Nonabsorbable suture used to create biliodigestive anastomosis can appear to become the frame of a "stone on a suture."
胆石性肠梗阻（GI）是指胆囊结石通过自发性或术后胆肠瘘进入肠腔，从而导致小肠或大肠出现机械性梗阻。一名42岁女性患者因小肠梗阻的临床表现入院。她在入院前4年因原发性硬化性胆管炎接受了肝空肠吻合术。钡餐造影显示有里格勒三联征。该患者接受了剖腹手术，术中发现为胆石性肠梗阻。通过肠切开术取出了“缝线上的结石”。胆囊切除术和肝空肠吻合术后的患者可能会发生胆石性肠梗阻。用于构建胆肠吻合口的不可吸收缝线可能会成为“缝线上的结石”的框架。
