Biliary Ileus – Potential Complication of Cholecystolithiasis

Czech version

Authors: R. Okoličány; A. Prochotský; J. Škultéty; J. Sekáč; A. Mifkovič
Authors‘ workplace: II. chirurgická klinika LF UKo, FNsP Bratislava – NsP sv. Cyrila a Metoda, Slovenská republika prednosta: doc. MUDr. J. Škultéty, CSc.
Published in: Rozhl. Chir., 2008, roč. 87, č. 11, s. 571-575.
Category: Monothematic special - Original

Overview

Biliary ileus is a rare complication of cholecystolithiasis. The condition occurs predominantly in the elderly with incidence rates of 1–4%, according to the literature data. Most commonly, it develops as a complication of cholelithiasis which remained untreated or was managed conservatively, or as a complication of a gallbladder decubitus necrosis. The condition results in a cholecysto- duodenal fistula. In this case, the cholecystolithiasis is latent or is clinically manifested in a third of the patients. A total of 1560 cholecystectomies (1345 L-CHE and 215 conventional CHE) were performed in our clinic during a five- year period. Biliary ileus was an indication for operation only in two subjects, during the studied period. In the both cases, the diagnosis was established intraoperatively, although upon re-examination of the visualization modalities views (upright native abdominal views, CT scans ) the authors concluded that the primary cause of the ileus could have already been identified, based on the above views.

Key words:
cholecystolithiasis – cholecysto-duodenal fistula – biliary ileus

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