Gallstone ileus secondary to cholecystogastric fistula. Case report

DOI 10.17605/OSF.IO/BMRN6

 

Holguin-Estrada EA, Rivas Trevino AR, Avalos-Trejo OA, Antonio-Trinidad AL, Rodriguez-Gomez JA. Gallstone ileus secondary to cholecystogastric fistula. Case report. Am J Med Surg. 2020 Oct 2(1):17-24.

From the Department of General Surgery at Hospital General 450, Durango, Mexico. Received on September 29, 2020. Accepted on October 5, 2020. Published on October 6, 2020

Abstract: Gallstone ileus represents a diagnostic and surgical challenge. It is defined as a mechanical obstruction due to the impaction of one or more stones of biliary origin, with an incidence of 0.3 to 0.5%, with an increase in incidence in those over 65 years of age; Secondary to the formation of an enteric biliary fistula, the most common being the cholecystoduodenal fistula with an incidence of 32.5-96.5%. Symptoms and signs are not very specific, with the presence of a history of acute cholecystitis or cholelithiasis, treatment should be oriented to the resolution of the occlusive condition and resolution of the biliary disease, since the reported recurrence of biliary ileus is 5% at 8%, for this reason enterolithotomy plus cholecystectomy and closure of the bilioenteric fistula should be performed, all depending on the hemodynamic status of the patient.

 

Keywords: Gallstones, gallbladder ileus, cholecystogastric fistula.