BILIARY ILEUS – THERAPEUTIC ATTITUDE IN EMERGENCY
Abstract:
Gallstones ileus is an extremely rare complication of gallstones characterized by the appearance of a more or less complete intestinal obstruction, caused by the impacting of the calculus on the intestine, originated from the biliar vesicle through the cholecystenteric fistule.(1,3) First mentioned by Bartholin in 1654, yet the condition is described in detail in 1892 by Naunyn regarding 127 cases.(1) The authors present the case of a patient, 75 years old, who was admitted to our hospital with acute onset of nausea, vomiting, diffuse abdominal pain, abdominal distension, ceasing of gas intestinal functions and worsening of the general health status. Intraoperatively, he was diagnosed with gallstone ileus. The purpose of the paper is to underline the superiority of the two stage procedure, in the case of high morbidity patients.
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