[Clinical course, diagnosis and treatment of cholelithic intestinal obstruction].
Forty-seven cases of intestinal obstruction due to gall-stones are analyzed. All the patients underwent surgery including enterolithotomy with two-layer intestinal closure (40), passage of stone into cecum (3), intestinal resection due to wall necrosis (3). Two patients died due to intestinal perforation with retroperitoneal phlegmon and multiple organ failure. It is concluded that clinical symptoms of cholelithic intestinal obstruction are wave-like. Intestinal X-ray and ultrasonic examinations are the most informative for final diagnosis.
Dibirov
M D
MD
Fedorov
V P
VP
Martirosian
N K
NK
Abdullaev
E M
EM
Sychinskiĭ
Iu O
IuO
Dzhadzhiev
A B
AB
D000284:Administration, Oral; D000368:Aged; D000369:Aged, 80 and over; D001466:Barium Sulfate / Q000008:administration & dosage; D002763:Cholecystectomy / Q000379:methods*; D003287:Contrast Media / Q000008:administration & dosage; D003937:Diagnosis, Differential; D005260:Female; D005500:Follow-Up Studies; D042882:Gallstones / Q000150:complications* / Q000175:diagnosis / Q000601:surgery; D006801:Humans; D007415:Intestinal Obstruction / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D007421:Intestine, Small; D007813:Laparotomy / Q000379:methods*; D008297:Male; D008875:Middle Aged; D011860:Radiography, Abdominal / Q000379:methods*; D012189:Retrospective Studies; D016896:Treatment Outcome
D003287:Contrast Media; D001466:Barium Sulfate