Intestinal Obstruction Due to Gallstone: Gallstone Ileus (A Case)
Keywords:
gall ileus, intestinal obstructionAbstract
It is considered a complication of cholelithiasis with duodenal cholecyst fistula and rarely colonic cholecyst. It occurs when there is a bile-enteric fistula as a consequence of recurrent acute cholecystitis where the gallbladder adheres to the duodenum or colon, causing necrosis and perforation of these two organs that are in contact.
Gallstone ileus is a condition of elderly patients and therefore often with comorbidity factors, which is why the immediate resolution of the obstructive condition is the best way to reduce the rate of complications in these patients, that is, early resolution.
The case of a male patient, 68 years old, diabetic, who presented with abdominal pain, nausea, vomiting, and intermittent abdominal distension, was presented topographically as gallstone ileus due to the presence of an intraluminal stone in the ileus whose surgical resolution was in a single stage.
References
Guillén Martínez EA. Íleo biliar, diagnóstico y tratamiento oportuno de una enfermedad infrecuente, a propósito de un caso clínico. Cirugía Andaluza · febrero 2022. Volumen 33 · Número 1 · pág. 26.
Vergara Morante T. íleo biliar como causa infrecuente de obstrucción intestinal. tratamiento quirúrgico. rapd online septiembre - octubre 2022 vol.45. nº5, pág. 175.
Ploneda-Valencia C. El íleo biliar: una revisión de la literatura médica. Revista de Gastroenterología de México. 2017;82(3):248---254. http://dx.doi.org/10.1016/j.rgmx.2016.07.006
Francisco Javier Mancilla Ulloa. Íleo biliar: reporte de un caso y revisión de la literatura. Cir Gen. 2014;3(2):121-125.
Marcos I. Salazar-Jiménez. Íleo biliar, revisión del manejo quirúrgico. Cir Cir. 2018; 86:182-186. DOI: 10.24875/CIRU.M18000032
Juan Manuel Reyes-Morales. Íleo biliar: un reto diagnóstico y terapéutico. Presentación de un caso clínico. Rev. Med Inst Mex Seguro Soc. 2023;61(1):106-10.
Chung AYA, Duke MC. Acute biliary disease. Surg Clin N Am. 2018; 98:877-94
Salazar Jiménez M, Alvarado Durán J, Fermín Contreras M, Rivero-Yáñez F, Lupian-Angulo AI, Herrera-González A. Íleo biliar, revisión del manejo quirúrgico. Cir Cir. 2018; 86:182-6.
![](https://revistas.ug.edu.ec/public/journals/4/submission_1005_1014_coverImage_es_ES.png)