Centro de Investigación ALAC - Asociación Latinoamérica para el Avance de las Ciencias
Doi
Abstract
El íleo biliar es una complicación infrecuente, caracterizada por datos clínicos de oclusión intestinal, siendo el 4% de las causas de obstrucción intestinal en la población en general. El diagnóstico es clínico e imagenologico(tríada de rigler). El manejo al principio será conservador, sin embargo, al no tener adecuada evolución se requiere de intervención quirúrgica, siendo la enterotomía con extracción de cálculos la piedra angular. El objetivo de este reporte es presentar un caso de oclusión intestinal causado íleo biliar tratado mediante laparotomía + enterotomía, extracción de lito y cierre primario. Se presenta el caso de una mujer de 69 años, mediante radiografía abdominal, colangioresonancia y tomografía abdominopelvica simple, se detectó enterocolito en íleon distal con datos de oclusión intestinal sin mejoría de tratamiento conservador. Se concluye que este diagnóstico es raro, pero de suma importancia en su diagnóstico para un abordaje terapéutico efectivo. Gallstone ileus is a rare complication, characterized by clinical data of intestinal occlusion, accounting for 4% of the causes of intestinal obstruction in the general population. Diagnosis is clinical and imaging (Rigler's triad. Management will be conservative at first, however, due to not having an adequate evolution, surgical intervention is required, with enterotomy with stone extraction being the cornerstone. The objective of this report is to present a case of gallstone ileus treated by laparotomy + enterotomy, stone extraction and primary closure. The case of a 69-year-old woman is presented, by abdominal radiography, magnetic resonance cholangiography and simple abdominopelvic tomography, enterocolith was detected in the distal ileum with data of intestinal occlusion without improvement of conservative treatment. It is concluded that this diagnosis is rare, but of great importance in its diagnosis for an effective therapeutic approach.Gallstone ileus is a rare complication, characterized by clinical data of intestinal obstruction, accounting for 4% of the causes of intestinal obstruction in the general population. The diagnosis is clinical and imaging (Rigler's triad). Management at first will be conservative, however, as there is no adequate evolution, surgical intervention is required, with enterotomy with stone extraction being the cornerstone. The objective of this report is to present a case of intestinal obstruction caused by gallstone ileus treated by laparotomy + enterotomy, stone extraction and primary closure. The case of a 69-year-old woman is presented. Using abdominal radiography, cholangioresonance and simple abdominopelvic tomography, enterocolith was detected in the distal ileum with data of intestinal obstruction without improvement from conservative treatment. It is concluded that this diagnosis is rare, but of utmost importance in its diagnosis for an effective therapeutic approach. Gallstone ileus is a rare complication, characterized by clinical data of intestinal occlusion, accounting for 4% of the causes of intestinal obstruction in the general population. Diagnosis is clinical and imaging (Rigler's triad. Management will be conservative at first, however, due to not having an adequate evolution, surgical intervention is required, with enterotomy with stone extraction being the cornerstone. The objective of this report is to present a case of gallstone ileus treated by laparotomy + enterotomy, stone extraction and primary closure. The case of a 69-year-old woman is presented, by abdominal radiography, magnetic resonance cholangiography and simple abdominopelvic tomography, enterocolith was detected in the distal ileum with data of intestinal occlusion without improvement of conservative treatment. It is concluded that this diagnosis is rare, but of great importance in its diagnosis for an effective therapeutic approach
