Recidiva de íleo biliar

Grau, J. M. Suárez; Cháves, C. Rubio; Água, I. Alarcón del; Maestre, María Dolores Casado; López, Medina; González, C. Palacios; Bernal, F. López; Cartes, J. A. Martín; Jiménez, Mario de Jesús Pérez; Durántez, Fernando Docobo; Méndez, S. Morales

doi:10.4321/s1130-01082009000300013

Cited by 7 publications

(1 citation statement)

References 3 publications

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“…Overall, the rate of recurrence of biliary ileus ranges from 2% to 8.2%, and mortality rate from 12% to 20% 5 . Recurrence is often due to an unidentified enteric or cholecystic gallstone at the time of the initial surgery 6 . Nearly 50% of all recurrences occur within the first month after the initial surgery, and the remaining 50% within the first 2 years, with reports of up to 9 years 7 .…”

Section: Introductionmentioning

confidence: 99%

Gallstone ileus, a rare cause of intestinal occlusion. A case report

Valencia-Martínez,

Reynoso-Saldaña,

Reynoso-González

et al. 2024

CIRUE

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Recurrent gallstone ileus has a recurrence of 2-8.2% with a mortality of 12-20%, secondary to an enteric or cholecystic gallstone. A male patient with a diagnosis of intestinal occlusion secondary to biliary ileus and cholecystoduodenal fistula, performing enterotomy and closure in two planes with drainage placement. Two months after presenting the clinical of intestinal occlusion, medical management began and an abdominal tomography was performed, finding an image suggestive of recurrent gallstone ileus, treated with laparotomy.

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Section: Introductionmentioning

confidence: 99%

Gallstone ileus, a rare cause of intestinal occlusion. A case report

Valencia-Martínez,

Reynoso-Saldaña,

Reynoso-González

et al. 2024

CIRUE

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High small bowel obstruction from a gallstone

et al. 2010

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Gallstones are a very uncommon cause of obstruction at any site of the gastrointestinal tract and commonly affect the elderly. The mechanism by which the stones pass into the intestine is a biliary-enteric fistula, more often after an episode of acute cholecystitis. Radiologic studies may prove very helpful in diagnosis, but a high index of suspicion and accurate medical history are also warranted. We present the case of a 77-year-old patient who was admitted with signs of acute cholecystitis. During his hospitalization, he developed symptoms of small bowel obstruction. Imaging studies revealed an obstacle in the proximal intestine and the patient underwent exploratory laparotomy which identified a 5 cm gallstone lodged in the proximal jejunum; an enterolithotomy was performed. Surgical options in such cases are affected by the general condition of the patient and the extent of the inflammatory and ischemic process at the affected organs. Despite developments, this clinical entity still carrries high mortality rates. This could be attributed to the comorbidities of the elderly and the fact that it remains a rare and difficult diagnostic entity.

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