Minimally invasive approach in gallstone ileus. A case report
Ávila-Lamadrid PG, Sánchez-Castrejón E, Lupián-Angulo AI, Mata-Quintero CJ. Minimally invasive approach in gallstone ileus. A case report. Am J Med Surg. July 2021; 4(3). 13-17
Abstract: Introduction: Gallstone ileus (BI) is described as the intraluminal transit of one or more large biliary stones (> 2 cm) through the digestive tract, by means of a bilioenteric fistula, conditioning its impaction and therefore intestinal occlusion. It is an infrequent consequence, of insidious course, causing delay in treatment and increased morbidity and mortality. Diagnostic suspicion and initial surgical management are essential for a favorable clinical evolution.
Clinical case: 63-year-old female with abdominal pain, clinical data of occlusion and imaging studies with characteristic data of BI. Diagnostic laparoscopy and minimally invasive management were performed to extract the gallstone, with a satisfactory postoperative period. Discussion: IB is a rare entity, surgical resolution through a minimally invasive approach in selected patients represents a safe treatment option. Conclusions: The minimally invasive surgical procedure, by means of enterotomy, stone extraction and laparoscopic enterorraphy in the first surgical stage with cholecystectomy in the second stage is the ideal surgical treatment, safe and with less morbidity and mortality.
Key words: Gallstone ileus, minimally invasive surgery.