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Spontaneous resolution of a gallstone ileus

Gallstone ileus is an uncommon complication of cholelithiasis, usually associated with an internal biliary fistula. Management of gallstone ileus is surgical with enterolithotomy the procedure of choice, followed by fistula closure either as a one or two stage procedure. In this case a 66 year old f...

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Detalles Bibliográficos
Autores principales: Roberts, JA, Lambrianides, AL
Formato: Online Artículo Texto
Lenguaje:English
Publicado: JSCR Publishing Ltd 2012
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3649501/
https://www.ncbi.nlm.nih.gov/pubmed/24960807
http://dx.doi.org/10.1093/jscr/2012.3.3
Descripción
Sumario:Gallstone ileus is an uncommon complication of cholelithiasis, usually associated with an internal biliary fistula. Management of gallstone ileus is surgical with enterolithotomy the procedure of choice, followed by fistula closure either as a one or two stage procedure. In this case a 66 year old female presented with colicky abdominal pain, computed tomography (CT) clearly showing a gallstone ileus and cholecystoduodenal fistula. Despite this the patient refused surgery and went on to have spontaneous resolution of the obstruction and passage of gallstones.