Revista Cubana de Medicina Militar
versión On-line ISSN 1561-3046
Vesicular lithiasis is a disease entity leads to frequent admissions and complications, thus, the medical-surgical treatment is usual in all surgical services. A severe complication of vesicular lithiasis is the infrequent biliary ileus characterized by a picture of mechanical obstruction of small bowel or the colon due to the passing of one or more calculi through a biliary-digestive fistula. It is disease characteristic of old age, with a mean age of 64 years and unusual before 50 years. This is the case of a female patient aged 50 with a picture of mechanical intestinal obstruction due to biliary calculus occluding the lumen of terminal ileum at the proximal 40 cm to Bahuin valve without preoperative diagnosis. An enterolithotomy and cholecystectomy were carried out with fistulectomy and duodenorrhaphy. Patient's course was favorable. We conclude that it a case characteristic of this infrequent affection and that the diagnostic and therapeutic approach used guaranteed a satisfactory course of the patient.
Palabras llave : Biliary ileus; biliary fistula; biliary calculus.