Finn H, Bienia M
Z Gesamte Inn Med. 1981 Feb 1;36(3):85-7.
It is reported on the diagnosis of a gallstone ileus in a 73-year-old female patient. In an otherwise quiescent anamnesis an increasing vomiting has been since 10 days. The X-ray examination of the stomach with visotrast 370 resulted in the suspicion of a pyloric stenosis. By means of emergency gastroscopy an independent disease of stomach and duodenum was excluded, but in the duodenal bulb 2 gallstones of the size of a hazel-nut and a kernel of the hazel-nut with references to a cholecystoduodenal fistula were established. In this case the emergency gastroscopy resulted in the indication to the immediate operation on account of gallstone ileus with previously unclear symptomatology of an ileus. Additionally a nearly hen's egg-sized stone was removed aborally 30 cm from Treitz's fascicle.
据报道，一名73岁女性患者被诊断为胆结石性肠梗阻。在既往平静的病史中，10天来呕吐逐渐加重。用泛影葡胺370对胃部进行X线检查后怀疑有幽门狭窄。通过急诊胃镜检查排除了胃和十二指肠的独立疾病，但在十二指肠球部发现了两颗榛子大小的胆结石以及一颗榛子仁大小的结石，提示存在胆囊十二指肠瘘。在这种情况下，由于胆结石性肠梗阻且之前肠梗阻症状不明确，急诊胃镜检查提示应立即进行手术。此外，在距屈氏韧带30 cm远心端取出了一块近乎鸡蛋大小的结石。
