[Unusual case of biliary ileus].
The clinical and radiological picture observed in a female patient with cholelithiasis urgently hospitalised for abdominal occlusion is described. Radiological examination of the digestive tract disclosed a bilio apico-bulbar fistula and ectasis and hypotonia of the jejuno-ileal loops. A large calculus composed of calcium salts and cholesterine buried in a sigmoid loop was spontaneously passed by the patient during the examination. This resulted in regression of the symptoms of pain and occlusion. Cholangiocholecystography and examination of the digestive tract 3 months later showed a normal gallbladder picture, and disappearance of the fistula.
D000368:Aged; D001658:Biliary Fistula / Q000150:complications / Q000000981:diagnostic imaging; D002769:Cholelithiasis / Q000150:complications* / Q000000981:diagnostic imaging; D004378:Duodenal Diseases / Q000150:complications / Q000000981:diagnostic imaging; D005260:Female; D006801:Humans; D007077:Ileal Diseases / Q000000981:diagnostic imaging / Q000209:etiology*; D007412:Intestinal Fistula / Q000150:complications / Q000000981:diagnostic imaging; D007415:Intestinal Obstruction / Q000000981:diagnostic imaging / Q000209:etiology*; D011859:Radiography
Un singolare caso di ileo biliare.