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2022, Number 3

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Rev CONAMED 2022; 27 (3)

Spontaneous expulsion of stone in a patient with gallstone ileus. Report of an unusual clinical case

López RCA, Gómez RJM, Romero NA

Language: Spanish
References: 11
Page: 114-117
PDF size: 169.39 Kb.


ABSTRACT

Gallstone ileus is a rare complication of cholelithiasis, described as a mechanical intestinal obstruction due to the impaction of one or more gallstones within the gastrointestinal tract. The stone reaches the intestine through a cholecystoenteric fistula. The most common type of fistula is located between the gallbladder and the duodenum. Due to the lack of suspicion of this condition, the diagnosis is made with exploratory laparotomy in 50% of patients. Most of the literature recommends surgical management, however there are very few reports of spontaneous expulsion of gallstones.


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