title: [A case of biliary ileus in a subject who had already undergone cholecystectomy].
abstract: 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.
authors.forename: G
authors.initials: G
authors.lastname: Bajardi
authors.forename: G
authors.initials: G
authors.lastname: Ricevuto
authors.forename: N
authors.initials: N
authors.lastname: Grassi
authors.forename: M
authors.initials: M
authors.lastname: Latteri
authors.forename: S
authors.initials: S
authors.lastname: Benvegna
mesh_terms: 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
vernacular_title: Su di un caso di ileo biliare in soggetto già colecistectomizzato.