The authors present a case of gallstone intermittent ileus caused by the passage of a big gallstone (about 4 cm in diameter) in the intestinal lumen, through a cholecystoduodenal fistula. They emphasize the peculiarity of the case for the characteristics of symptoms and for casual diagnostic check-up with a ultrasonography. The disease is not frequently diagnosed; today it has a safe recognition by modern imaging. The symptoms can be intermittent and, even when there are the classic signs of intestinal occlusion, the site of the occlusion is various. With a timely endoscopical or surgical approach (open or laparoscopic) it is possible to reduce mortality of patients treated in emergency.
SAMMARTANO A, FRAZZETTA M, FURGIUELE G, FRAZZETTA F, DE SIMONE G, VETRI G, et al. (2006). ILEO BILIARE: DIAGNOSI E TRATTAMENTO. CASE REPORT. IL GIORNALE DI CHIRURGIA, XXVII, 363-367.
ILEO BILIARE: DIAGNOSI E TRATTAMENTO. CASE REPORT
SAMMARTANO, Antonino;FRAZZETTA, Michele;FRAZZETTA, Filippo;VETRI, Giuseppe;DI GESU', Giuseppe
2006-01-01
Abstract
The authors present a case of gallstone intermittent ileus caused by the passage of a big gallstone (about 4 cm in diameter) in the intestinal lumen, through a cholecystoduodenal fistula. They emphasize the peculiarity of the case for the characteristics of symptoms and for casual diagnostic check-up with a ultrasonography. The disease is not frequently diagnosed; today it has a safe recognition by modern imaging. The symptoms can be intermittent and, even when there are the classic signs of intestinal occlusion, the site of the occlusion is various. With a timely endoscopical or surgical approach (open or laparoscopic) it is possible to reduce mortality of patients treated in emergency.
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