[Gallstone ileus: diagnosis and treatment. Case report].
The authors present a case of gallstone intermittent ileus caused by the passage of a big gallstone (about 4 cm in diameter) in the intestinal lumen, through a cholecystoduodenal fistula. They emphasize the peculiarity of the case for the characteristics of symptoms and for casual diagnostic check-up with a ultrasonography. The disease is not frequently diagnosed; today it has a safe recognition by modern imaging. The symptoms can be intermittent and, even when there are the classic signs of intestinal occlusion, the site of the occlusion is various. With a timely endoscopical or surgical approach (open or laparoscopic) it is possible to reduce mortality of patients treated in emergency.
Sammartano
A
A
Università degli Studi di Palermo, Dipartimento di Discipline Chirurgiche ed Oncologiche.
Frazzetta
M
M
Furgiuele
G
G
Frazzetta
F
F
De Simone
G
G
Vetri
G
G
Di Gesù
G
G
D000368:Aged; D002769:Cholelithiasis / Q000150:complications / Q000175:diagnosis* / Q000601:surgery*; D006801:Humans; D045823:Ileus / Q000175:diagnosis* / Q000209:etiology / Q000601:surgery*; D008297:Male; D016896:Treatment Outcome