Muñoz-Leija Milton A, Alemán-Jiménez Marion C, Quiroga-Garza Alejandro, Elizondo-Omaña Rodrigo E, Guzmán-López Santos
General Surgery, Hospital General de Zona 6, Instituto Mexicano del Seguro Social, San Nicolas de los Garza, MEX.
Human Anatomy, Universidad Autónoma de Nuevo León, School of Medicine, Monterrey, MEX.
Cureus. 2023 Jan 3;15(1):e33291. doi: 10.7759/cureus.33291. eCollection 2023 Jan.
Gallstone ileus is a rare presentation of gallbladder disease. It is mostly encountered in female and elderly patients. It occurs when a stone causes a fistula between the gallbladder and the intestinal lumen. More than half of the patients do not have a history of biliary disease. Surgical intervention is still considered the best treatment option; however, the best choice between one-stage and two-stage surgery is still unknown. We present a gallstone Ileus case in a patient with uncommon epidemiological characteristics: a 28-year-old male Hispanic patient without a gallbladder disease history.
胆结石性肠梗阻是胆囊疾病的一种罕见表现。多见于女性和老年患者。当结石导致胆囊与肠腔之间形成瘘管时就会发生。超过半数的患者没有胆道疾病史。手术干预仍然被认为是最佳治疗选择;然而,一期手术和二期手术之间的最佳选择仍不明确。我们报告一例具有不寻常流行病学特征的胆结石性肠梗阻病例:一名28岁无胆囊疾病史的西班牙裔男性患者。