[Gallstone ileus. A report of 104 cases].
An analysis of 104 cases of gallstone ileus in 102 patients is presented. Biliary stones reach the intestinal tract through a biliodigestive fistula in 80-85% and on natural way in 15-20%. Clinical symptoms depend on mechanism of obstruction. It shows 3 forms of course: peritonitical form (20%), remittent form (30%) and typical intestinal obturation (50%). Roentgenological findings show aerobilia in 36%, dystope radiopaque stones in 8% and signs of obstruction in 97% of investigations. The main concern in gallstone ileus should be to relieve the intestinal obstruction and not cholelithiasis. The mortality rate declined during reported time from 40-50% to 25%.
Hildebrandt
J
J
Klinik für Chirurgie, Medizinischen Akademie Carl Gustav Carus, Dresden.
Herrmann
U
U
Diettrich
H
H
D000368:Aged; D000369:Aged, 80 and over; D002423:Cause of Death; D002763:Cholecystectomy; D002764:Cholecystitis / Q000601:surgery*; D002769:Cholelithiasis / Q000000981:diagnostic imaging / Q000601:surgery*; D004766:Enterostomy; D006801:Humans; D007415:Intestinal Obstruction / Q000000981:diagnostic imaging / Q000601:surgery*; D007416:Intestinal Perforation / Q000601:surgery; D008875:Middle Aged; D010538:Peritonitis / Q000601:surgery; D011183:Postoperative Complications / Q000401:mortality; D011859:Radiography
Der Gallensteinileus. Ein Bericht über 104 Beobachtungen.