title: Gallstone ileus resulting in strong intestinal obstruction.
abstract: Mechanic intestinal obstruction, caused by the passage of biliary calculus from vesicle to intestine, through fistulization, although not frequent, deserve study due to the morbi-mortality rates. Incidence in elder people explains the association with chronic degenerative diseases, increasing complexity in terms of therapy decision. Literature discusses the need and opportunity for the one or two-phase surgical attack of the cholecyst-enteric fistule, in front of the resolution on the obstructive urgency and makes reference to Gallstone Ileus as an exception for strong intestinal obstruction. The more frequent intestinal obstruction observed is when it occurs a Gallstone Ileus impacting in terms of ileocecal valve. The authors submit a Gallstone Ileus manifestation as causing strong intestinal obstruction, discussing aspects regarding diagnostic and treatment.
authors.affiliation: Trauma Surgery Discipline, Hospital das Clínicas, Faculdade de Medicina, Universidade de São Paulo, Brazil.
authors.forename: I
authors.initials: I
authors.lastname: Szajnbok
authors.forename: F
authors.initials: F
authors.lastname: Lorenzi
authors.forename: A J
authors.initials: AJ
authors.lastname: Rodrigues Júnior
authors.forename: L F
authors.initials: LF
authors.lastname: Zantut
authors.forename: R S
authors.initials: RS
authors.lastname: Poggetti
authors.forename: E
authors.initials: E
authors.lastname: Steinman
authors.forename: D
authors.initials: D
authors.lastname: Birolini
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D001658:Biliary Fistula / Q000175:diagnosis / Q000601:surgery; D002769:Cholelithiasis / Q000150:complications* / Q000175:diagnosis / Q000601:surgery; D005260:Female; D006801:Humans; D007412:Intestinal Fistula / Q000175:diagnosis / Q000601:surgery; D007415:Intestinal Obstruction / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D008297:Male; D011183:Postoperative Complications; D011300:Preoperative Care