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Jornal Português de Gastrenterologia
versão impressa ISSN 0872-8178
Resumo
TORRES, J. et al. Ileus biliar - complicação rara de litíase vesicular. J Port Gastrenterol. [online]. 2009, vol.16, n.4, pp.159-162. ISSN 0872-8178.
Gallstone ileus is a rare cause of mechanical intestinal obstruction, occurring most frequently in the elderly with associated co-morbidity. It is due to the impaction of a large gallstone in the small bowel. The diagnosis is often delayed as symptoms can be intermittent and clinical investigation is usually not able to identify the true cause of obstruction. It remains associated with a high morbidity and mortality. The authors present a clinical case where the clinical, radiologic and endoscopic examinations permitted a correct pre-operative diagnosis, allowing the timely surgical treatment and effectively solving the occlusion.