title: [Gallstone ileus: diagnosis and treatment. Case report].
abstract: 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.
authors.affiliation: Università degli Studi di Palermo, Dipartimento di Discipline Chirurgiche ed Oncologiche.
authors.forename: A
authors.initials: A
authors.lastname: Sammartano
authors.forename: M
authors.initials: M
authors.lastname: Frazzetta
authors.forename: G
authors.initials: G
authors.lastname: Furgiuele
authors.forename: F
authors.initials: F
authors.lastname: Frazzetta
authors.forename: G
authors.initials: G
authors.lastname: De Simone
authors.forename: G
authors.initials: G
authors.lastname: Vetri
authors.forename: G
authors.initials: G
authors.lastname: Di Gesù
mesh_terms: 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