colelitíase

Abdome agudo obstrutivo por íleo biliar

  • Autores:
  • Bruna Santana Novais
  • Beatriz Carvalho De Campos Bueno
  • Francisca Dias De Moraes
  • Lorena Murta Dos Santos
  • Felipe Augusto Ferreira Siquelli
  • Rafaela Santos Costa
  • Ted Renato Marçal Fumagalli
  • Marcelo Jacques Segal
  • Palavras-chave:
  • colecistite
  • colelitíase
  • enterolitotomia
  • íleo biliar
  • obstrução intestinal
Resumo: Introduction: A rare complication such as gallstone disease occurs through the fistulas formation between the gallbladder and the intestine, with migration of the gallstone to the intestinal lumen, responsible for 1 to 4% of cases of acute obstructive abdomen. Case report: We present a patient with cholelithiasis, whose gallbladder fistulates in the duodenum, generating acute obstructive abdomen due to impacted gallstone in the small intestine, approximately 15 cm from the ileocecal valve. Undergo a laparotomy with segmental enterotomy and the stone removed. Discussion: Although gallstone ileus is a rare condition, its early diagnosis and treatment are essential for to be less morbidity and mortality in these patients, mostly elderly. Keywords: abdomen, acute, biliary fistula, cholecystitis, gallbladder diseases. Expandir Resumo Acessar Texto Completo