Abstract

ACOSTA BRUNAGA, Lorenzo Diosnel; CABANAS ADORNO, Silvio Alfredo; ROJAS VILLARREAL, Hugo Hernán  and  ESCANDRIOLO PENA, Víctor Andrés. Colonic obstruction by gallstone. Rev. Nac. (Itauguá) [online]. 2017, vol.9, n.2, pp.91-102. ISSN 2072-8174.  https://doi.org/10.18004/rdn2017.0009.02.091-102.

Gallstone ileus is a rare complication of cholelithiasis, which is characterized by clinically presenting as an intraluminal mechanical intestinal obstruction secondary to the impaction of a gallstone in the digestive tract, due to the existence of a biliary-enteric fistula.

The preoperative diagnosis is difficult, since it presents symptoms and signs of intestinal obstruction, which are very unspecific to suspect a Biliary Ileus.

The treatment of choice in the management of gallstone ileus is surgery; usually is performed in two stages, whole lithotomy as the only gesture, however there is no standardized definitive surgical technique.

We present the case of a 70-year-old patient, who attended the emergency department with the clinical diagnosis of low mechanical bowel obstruction, four days of evolution, as a result of a stone impacted in the sigmoid colon.

Keywords : Intestinal obstruction; gallstone; medical treatment; surgery; complications.

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