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Revista do Colégio Brasileiro de Cirurgiões

Print version ISSN 0100-6991On-line version ISSN 1809-4546

Abstract

GODOY, Álvaro Queiroz de; TECLA JUNIOR, Oscar  and  GODOY, André Reichert da Silva. Gallstone ileus: videoassisted enterolithotomy. Rev. Col. Bras. Cir. [online]. 2000, vol.27, n.6, pp.425-426. ISSN 0100-6991.  http://dx.doi.org/10.1590/S0100-69912000000600012.

Treatment, morbidity and mortality of patients with gallstone ileus depend on an accurate diagnosis made in time, and also on a more adequate therapeutic option.A detailed clinical evaluation is fundamental for such diagnosis. Complementary exams like a simple radiological study of the abdomen, high and low endoscopies, an ultrasonography, and a tomography can also be performed. The therapeutic options include the removal of the obstructive factor separately, the performance of a treatment in two separate stages, or the performance of a complete treatment (removal of the calculus, cholecystectomy, and the closing of the fistula).This study aims to present a case report of an elderly man of high surgical risk, presenting gallstone ileus. He was submitted to an isolated videoassisted enterolithotomy through a minilaparotomy. Taking into consideration the patient’s advanced age and the lack of evidence as to other biliary associated pathologies, the chosen treatment seemed to be a good alternative. The evolution was good, and after an 8 month follow-up the patient was found well and with no biliary symptoms whatsoever.

Keywords : Gallstone Ileus; Biliary enteric fistula; Diagnosis; Therapy.

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