6533b826fe1ef96bd1284cc7

RESEARCH PRODUCT

ILEO BILIARE: DIAGNOSI E TRATTAMENTO. CASE REPORT

Antonino SammartanoMichele FrazzettaFurgiuele GFilippo FrazzettaDe Simone GGiuseppe VetriGiuseppe Di Gesu'

subject

Ecografia - Ileo biliare - Fistola bilio-digestiva - Litiasi biliare Ultrasonography - Gallstone ileus - Bilioenteric fistula - Biliary lithiasis

description

The authors present a case of gallstone intermittent ileus caused by the passage of a big gallstone (about 4 cm in diameter) in the intestinal lumen, through a cholecystoduodenal fistula. They emphasize the peculiarity of the case for the characteristics of symptoms and for casual diagnostic check-up with a ultrasonography. The disease is not frequently diagnosed; today it has a safe recognition by modern imaging. The symptoms can be intermittent and, even when there are the classic signs of intestinal occlusion, the site of the occlusion is various. With a timely endoscopical or surgical approach (open or laparoscopic) it is possible to reduce mortality of patients treated in emergency.

http://hdl.handle.net/10447/15227