Gallstone ileus, the forgotten one: a rare cause of intestinal perforation and a case report

Osvaldo Ivan Guevara Valmaña; Hugo Enrique Beyuma Mora; Chantal Gonzalez Chavez; Laura Maria Murguia Zamora; Elias Gil Loaeza; Luis Fernando Palacio Pizano

doi:10.18203/2320-6012.ijrms20202094

Authors

Osvaldo Ivan Guevara Valmaña Department of Surgery, Hospital General Carlos Mac Gregor Sanchez Navarro, Mexican Institute of Social Health, Mexico City, Mexico
Hugo Enrique Beyuma Mora Department of Surgery, Hospital General Carlos Mac Gregor Sanchez Navarro, Mexican Institute of Social Health, Mexico City, Mexico
Chantal Gonzalez Chavez Department of Surgery, Hospital General Carlos Mac Gregor Sanchez Navarro, Mexican Institute of Social Health, Mexico City, Mexico
Laura Maria Murguia Zamora Department of Surgery, Hospital General Carlos Mac Gregor Sanchez Navarro, Mexican Institute of Social Health, Mexico City, Mexico
Elias Gil Loaeza Department of Surgery, Hospital General Carlos Mac Gregor Sanchez Navarro, Mexican Institute of Social Health, Mexico City, Mexico
Luis Fernando Palacio Pizano Department of Surgery, Hospital General Carlos Mac Gregor Sanchez Navarro, Mexican Institute of Social Health, Mexico City, Mexico

DOI:

https://doi.org/10.18203/2320-6012.ijrms20202094

Keywords:

Bowel obstruction, Digestive surgery, Gallstone ileum, Intestinal obstruction

Abstract

Gallstone ileum represents an unusual cause of intestinal obstruction as a result of the presence of stones that cause mechanical obstruction. It has an incidence of less than 4%. Reaching mortality up to 25% of cases. It is a difficult suspicion, with characteristic signs that guide its presence such as pneumobilia, occlusion, and the presence of stone in radiological studies. Management should include surgical extraction as well as revision of the entire intestine with a suitable subsequent repair. Authors present the case of a 70-year-old patient with the presence of surgically resolved biliary ileum.

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Author Biography

Luis Fernando Palacio Pizano, Department of Surgery, Hospital General Carlos Mac Gregor Sanchez Navarro, Mexican Institute of Social Health, Mexico City, Mexico

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