Gallstone ileus – the diagnostic and therapeutic challenge
Authors:
Tomáš Paseka; Václav Jedlička; Jan Žák
Authors‘ workplace:
I. chirurgická klinika LF MU a Fakultní emocnice U sv. Anny v Brně
Published in:
Čas. Lék. čes. 2010; 149: 340-343
Category:
Case Report
Overview
Gallstone ileus as a complication of gallstone disease is a diagnostic as well as therapeutic challenge. Its development is frequently sneaking, so correct diagnosis and surgical therapy is often delayed. Thus morbidity and mortality is high. Concrement extraction by open enterotomy is a therapeutic choice. The discussed issue is if one-stage cholecystectomy and fistula closure should be done too. The paper presents a female patient with gallstone ileus treated with open enterotomy only, with no postoperative complication. The literature review follows. Authors conclude that one-stage procedure, if feasible, is acceptable method for the low risk patients.
Key words:
gallstone ileus, biliary ileus, enterobiliary fistula, gallstone disease, Bouveret’s syndrome.
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Addictology Allergology and clinical immunology Angiology Audiology Clinical biochemistry Dermatology & STDs Paediatric gastroenterology Paediatric surgery Paediatric cardiology Paediatric neurology Paediatric ENT Paediatric psychiatry Paediatric rheumatology Diabetology Pharmacy Vascular surgery Pain management Dental HygienistArticle was published in
Journal of Czech Physicians
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