Resumen

GONZALEZ SOSA, Gabriel et al. Biliary ileum:: an uncommon complication of vesicular lithiasis. Rev Cubana Cir [online]. 2010, vol.49, n.2. ISSN 0034-7493.

This the case of a female patient aged 80 with a history of type 2 diabetes mellitus, ischemic heart failure and a exogenous obesity urgently admitted due to abdominal pain, vomiting and abdominal distention of 3 days course. In abdominal simple radiograph radiological signs of intestinal occlusion were confirmed corroborated by abdominal echography and CAT. Hydroelectrolytic imbalance was corrected performing an exploration laparotomy observing the presence of large calculus located in terminal ileum. An enterolithotomy with enterorrhaphy and occlusive picture was resolved. At 16 from discharge, patient is re-admitted with a similar situation and at re-intervention presence of another calculus and a cholecystogastric fistula was verified involving the gall bladder and the gastric antrum repairing by gastrorrhaphy. At the end of transoperative period, patient had an episode of ventricular fibrillation with extreme bradycardia and an asystolic arrest. She was reanimated but there wasn't reversion and patient died.

Palabras clave : Biliary ileum; intestinal obstruction; enterolithotomy; cholecystogastric fistula; enterorrhaphy and gastrorrhaphy.

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