title: [Intestinal obstruction secondary to biliary ileus].
abstract: OBJECTIVE
  To discuss diagnostic and therapeutic implications of gallstone ileus and to report the case of a patient seen at our Hospital due to an intestinal obstruction secondary to gallstone ileus.
  
  
  METHODS
  A 63 years old male with intestinal obstruction secondary to gallstone ileus. Several studies were performed, such as panendoscopy, upper gastrointestinal series, and intestinal transit with poor results preventing a definitive diagnosis. For this reason, the patient underwent an exploratory laparotomy, which showed in this a grant gallstone in a giant jejunum.
  
  
  METHODS
  Enterotomy, gallstone extraction, and enteroraphy.
  
  
  CONCLUSIONS
  The intestinal obstruction secondary to gallstone ileus is a clinical entity of difficult diagnosis. Accompanying studies usually have low sensibility because other pathologic entities are considered prior to thinking of ileus gallstone.
authors.affiliation: Servicio de Cirugía y Endoscopia, Hospital Santa Fe, México, D.F. hirosawa4@latinmail.com
authors.forename: Tadashi
authors.initials: T
authors.lastname: Hirosawa-Oishi
authors.forename: Claudia Verónica
authors.initials: CV
authors.lastname: Rosas-Salas
authors.forename: Yukiyoshi
authors.initials: Y
authors.lastname: Kimura-Fujikami
authors.forename: Carlos
authors.initials: C
authors.lastname: Velasco-Ospina
mesh_terms: D002769:Cholelithiasis / Q000150:complications*; D002779:Cholestasis / Q000150:complications*; D006801:Humans; D007415:Intestinal Obstruction / Q000209:etiology*; D007579:Jejunal Diseases / Q000209:etiology*; D008297:Male; D008875:Middle Aged
vernacular_title: Obstrucción intestinal secundaria a íleo biliar.