Intestinal Obstruction Secondary to Gallstone Ileus in a Patient with Cholangitis: Case Report

Authors

DOI:

https://doi.org/10.22516/25007440.977

Keywords:

Cholangitis, gallstone ileus, intestinal obstruction

Abstract

Gallstone ileus manifests as intestinal obstruction. It occurs due to the passage of a stone and its subsequent lodging in the lumen of the digestive tract. The diagnosis is confirmed by imaging; the gold standard is abdominal tomography. Management is based on the extraction of the intraluminal calculus in one or more surgical times, depending on the patient’s condition. We present the case of a patient with multiple comorbidities who showed a picture of cholangitis complicated by gallstone ileus and successfully treated with enterolithotomy. Surgical management is controversial since the optimal approach for these patients has not been established.

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Author Biographies

Julián David Castelblanco Pérez, Universidad pedagógica y tecnológica de Colombia (UPTC)

Médico general. Clínica de especialistas. Sogamoso, Colombia.

César Augusto Turca Cruz, EPS Sanitas

Médico general. Tunja, Boyacá, Colombia.

Lady Stefani Bautista Rodríguez, Clínica San José de Cúcuta

Médico general de urgencias. Cúcuta, Norte de Santander, Colombia.

Alexis Rene Manrique Mendoza, Hospital universitario san Rafael de Tunja

Médico especialista en cirugía general y laparoscópica avanzada / bariatrica. Tunja, Colombia.

References

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Figure 1. A and B. Target-like image from abdominal tomography suggestive of intestinal obstruction due to intussusception. C. String of pearls-like image suggestive of intestinal obstruction. Images owned by the authors.

Published

2023-09-27

How to Cite

Castelblanco Pérez, J. D., Turca Cruz, C. A., Bautista Rodríguez, L. S., & Manrique Mendoza, A. R. (2023). Intestinal Obstruction Secondary to Gallstone Ileus in a Patient with Cholangitis: Case Report. Revista Colombiana De Gastroenterología, 38(3), 360–363. https://doi.org/10.22516/25007440.977

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