Biliary ileus
Keywords:
acute abdomen, gallstone, laparotomyAbstract
Introduction: Biliary ileus is an unusual cause of acute surgical abdomen that is caused by the impact of a gallstone on a segment of the gastrointestinal tract, resulting in mechanical intestinal occlusion.
Objective: To present an infrequent case of biliary ileus.
Clinical case: A 76-year-old patient went to the emergency center due to colic-like abdominal pain of three days' duration, vomiting, increased abdominal volume, and constipation. An exploratory laparotomy was performed and an impacted stone was found in the jejunum with necrosis (which required resection with end-to-end anastomosis) and a fibrinoplastic process at the level of the bile duct (which is being followed up in an outpatient clinic).
Conclusions: Biliary ileus is a rare cause of mechanical intestinal occlusion that usually leads to enterotomy with removal of the litho. An unusual case was presented, with vascular involvement of the impacted segment that required resection and anastomosis.
References
1. Scuderi V, Adamo V, Naddeo M, Di Natale W, Boglione L, Cavalli S. Gallstone ileus: monocentric experience looking for the adequate approach. Updates Surg. 2018 70 (4): 503-511. DOI: 10.1007/s13304-017-0495-z.
2. Reyes Morales JM, Hernández García LK. Íleo biliar: un reto diagnóstico y terapéutico. Presentación de un caso clínico. Rev Med Inst Mex Seguro Soc [Internet]. 2023 acceso: 10/10/2024]; 61 (1): 106-10. Disponible en: https://pmc.ncbi.nlm.nih.gov/articles/PMC10395987/pdf/04435117-61-1-106.pdf
3. Ploneda Valencia CF, Gallo Morales M, Rinchon C, Navarro Muñíz E, Batista López CA, de la Cerda Trujillo LF, Rea Azpeitia LA, López Lizarrag CR. El íleo biliar: una revisión de la literatura médica. Rev Gastroenterol Mex. 2017; 82(3): 248-254. https://doi.org/10.1016/j.rgmx.2016.07.006
4. Sertkaya M, Emre A, Akbulut S, Vicdan H, Şanlı AN. A typical gallstone ileus: Clinical, radiological and operational findings. Turk J Gastroenterol. 2019; 30 (4): 377-80. DOI: 10.5152/tjg.2018.18347
5. Suárez Cuevas A, Rodríguez Marrero ON, Albertini López G. Oclusión intestinal mecánica por íleo biliar. Reporte de caso. Rev Med Electrón [Internet]. 2023 [acceso: 10/10/2024]; 45 (6): 1052-1060. Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S1684-18242023000601052&lng=es
6. León G, Le Marie AS, Duarte Ropero NL. Íleo Biliar. Descripción de un caso. Experiencia institucional. Revista Científica “Conecta Libertad” [Internet]. 2020 [acceso: 10/10/2024]; 4(2): 121–126. Disponible en: http://revistaitsl.itslibertad.edu.ec/index.php/ITSL/article/view/137.
7. Bueno Cañones AD, Bailón Cuadrado M, Asensio Díaz E, Pacheco Sánchez D. Íleo biliar. Reporte de casos. Rev Cir [Internet]. 2020 [acceso: 10/10/2024]; 72(5): 468-471. Disponible en: http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S2452-45492020000500468&lng=es
8. Hurtado Y, Agudelo H, Merchán Galvis Á. Íleo biliar en adulto joven. Reporte de un caso. Universidad y Salud. 2019; 22 (1): 96-101. https://doi.org/10.22267/rus.202201.180
9. Requena López AA, Mata Samperio BK, Solís Almanza F, Casillas Vargas R, Cuadra Reyes LA. Comparison between surgical techniques in gallstone ileus and out-comes. Cir. 2020; 88: 292-6.https://doi.org/10.24875/CIRU.19001264
10. Chang L, Chang M, Chang HM, Chang AI, Chang F. Clinical and radiological diagnosis of gallstone ileus: a mini review. Emerg Radiol. 2018; 25 (2): 189-196. DOI: 10.1007/s10140-017-1568-5
11. Ibrarullah M, Samantaray PK, Meher S, Bruno WH. Gallstone ileus of upper gastrointestinal tract: A case series. Indian J Gastroenterol. 2019; 38 (3): 273-275. DOI: 10.1007/s12664-019-00954-7
12. Cubillos L, Cruz O, Tapia A, Zuñiga J, Palladines G. Íleo biliar. Experiencia clínica actualizada y seguimiento. Rev Chil Cirugía. 1991; 43:142-9.
13. Eduardo Higuera E, Puerta Navarro JA, Theran León JS, Esteban Badillo LY, Villalobos Ariza MA. Obstrucción intestinal por íleo biliar. Presentación de caso. Rev Colomb Radiol. 2021; 32(4): 5653-5. DOI: https://doi.org/10.53903/01212095.80
14. Avilez Arias JM., Cabral Martínez A. Fístula colecistoentérica como causa de íleo biliar: hallazgos tomográficos. Cirugía Andaluza. 2023; 34(1), 73-76. doi:10.37351/2021341.13
15. Loaiza Merino IP, Cortez Barragán J, Paredes Regalado VA. Reporte de un caso: íleo biliar. Rev UNIANDES Ciencias de la Salud. 2024; 7 (2): 208-218. https://doi.org/10.61154/rucs.v7i2.3436
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