Início Abdome agudo obstrutivo por íleo biliar
enterolitotomia
Abdome agudo obstrutivo por íleo biliar
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.
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