Nuño-Rodriguez Victor H, Flores-Olmos Nora L, Alvarez-Gutierrez Jaime A
General Surgery, Regional Hospital "Dr. Valentin Gomez Farias", Institute of Security and Social Services for the State Workers, Zapopan, MEX.
Cureus. 2024 Aug 14;16(8):e66893. doi: 10.7759/cureus.66893. eCollection 2024 Aug.
Gallstone ileus is a rare but potentially serious complication of gallstone disease, which presents as a mechanical intestinal obstruction due to impaction and fistulization of a gallstone, most commonly in the small intestine. Since it usually occurs in elderly patients, the symptoms can be very diverse and with a late presentation. We present the case of a 90-year-old patient with intestinal obstruction and acute abdominal pain who experienced gallstone ileus and underwent surgery, and a few days after being discharged returned with a recurrence of the symptoms, was re-operated, and a second stone was found.
胆石性肠梗阻是胆石症一种罕见但可能严重的并发症，表现为胆结石嵌顿并形成瘘管导致的机械性肠梗阻，最常发生于小肠。由于其通常发生在老年患者中，症状可能非常多样且出现较晚。我们报告一例90岁肠梗阻和急性腹痛患者，该患者发生了胆石性肠梗阻并接受了手术，出院几天后症状复发，再次接受手术，发现了第二颗结石。
