[Intestinal obstruction secondary to biliary ileus].
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.
Hirosawa-Oishi
Tadashi
T
Servicio de Cirugía y Endoscopia, Hospital Santa Fe, México, D.F. hirosawa4@latinmail.com
Rosas-Salas
Claudia Verónica
CV
Kimura-Fujikami
Yukiyoshi
Y
Velasco-Ospina
Carlos
C
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
Obstrucción intestinal secundaria a íleo biliar.