RELATOS DE CASOS

 

Íleo biliar colônico

 

Colonic gallstone ileus

 

 

João Batista Cardoso, TCBC-SP^I; Omar Féres, TCBC-SP^I; José Ivan de Andrade, TCBC-SP^II

^IMédico Assistente do Serviço de Cirurgia da Unidade de Emergência do HC - FMRPUSP
^IIProfessor Doutor do Departamento de Cirurgia, Ortopedia e Traumatologia da FMRPUSP. Coordenador do Serviço de Cirurgia da Unidade de Emergência do HC - FMRPUSP

Endereço para correspondência

 

 

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ABSTRACT

Colonic obstruction is a very rare complication of gallstone disease. We describe two cases of colonic obstruction by gallstone in old age women, in which the final diagnosis was made on surgery. In one it was found a cholecystocolic fistula and a stone impacted in the sigmoid colon which was milked until the cecum, where it was removed through a cecolithotomy. In the other there was a cholecystoduodenal fistula, the stone was impacted in the sigmoid colon and in association there  was a colonic necrosis, treated by colectomy, ileostomy and mucous fistula, During colonic mobilization a colecystoduodenal fistula was exposed, making necessary to perform a cholecystectomy and fistula repair. Both patients died in sepsis.

Key words: Colonic gallstone ileus; Gallstone; Biliary enteric fistula; Diagnosis; Therapy; Case report,

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REFERÊNCIAS

1. Rayford TS. Intestinal obstruction caused by gallstones. Am J Surg 1962;102:383-394.         [ Links ]

2. Fisher WE, Holden Cr, Salt WB. Gallstone obstruction of the colon. Through treatment prevents serious complications. Postgrad Med 1992;249-251.         [ Links ]

3. Phillips DE, Doran J. Obstruction of the colon by a giant gallstone. Br J Hosp Med 1986; 36:444.         [ Links ]

4. Day EA, Marks C. Gallstone ileus. Review of the literature and presentation of thirty-four new cases. Am J Surg 1975; 129:552-558.         [ Links ]

5. Borman CN, Riegler LG. Spontaneous internal biliary fistula and gallstone obstruction with particular reference to the roentgenologic diagnosis. Surgery 1937;1:349         [ Links ]

 

 

Endereço para correspondência:
Dr. João Batista Cardoso
Rua dos Trabalhadores, 926
14870-000 - Jaboticabal- SP
E-mail: jobaca.jal@netsite.com.br

Recebido em 28/10/98
Aceito para publicação em 14/6/99

 

 

Trabalho realizado no Serviço de Cirurgia da Unidade de Emergência do Hospital das Clínicas da Faculdade de Medicina de Ribeirão Preto da Universidade de São Paulo - HC - FMRPUSP.