[A case of biliary ileus in a subject who had already undergone cholecystectomy].
A rare case of biliary ileus in an already cholecystectomized subject is reported. Apart from the rarity of the case, the failure to evidence a bilio-digestive fistula intraoperatively is pointed out and a trans-choledochal migration mechanism for the gallstone is hypothesised. After a short review of the main complications connected with this serious form of intestinal occlusion, stress is laid on the advisability of carrying out, especially in emergency situations, simple entero-lithotomy, confining more invasive surgery, such as the repair of the biliodigestive fistula or cholecystectomy to cases in which recurrent biliary pathology is evident.
Bajardi
G
G
Ricevuto
G
G
Grassi
N
N
Latteri
M
M
Benvegna
S
S
D002758:Cholangiography; D002763:Cholecystectomy; D002769:Cholelithiasis / Q000150:complications* / Q000000981:diagnostic imaging / Q000601:surgery; D005260:Female; D006801:Humans; D007415:Intestinal Obstruction / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery; D007421:Intestine, Small / Q000000981:diagnostic imaging / Q000601:surgery; D008875:Middle Aged
Su di un caso di ileo biliare in soggetto già colecistectomizzato.