Journal: | Revista do Colegio Brasileiro de Cirurgioes |
Database: | PERIÓDICA |
System number: | 000180223 |
ISSN: | 0100-6991 |
Authors: | Cardoso, Joao Batista1 Feres, Omar Andrade, Jose Ivan de |
Institutions: | 1Universidade de Sao Paulo, Faculdade de Medicina, Ribeirao Preto, Sao Paulo. Brasil |
Year: | 1999 |
Season: | Jul-Ago |
Volumen: | 26 |
Number: | 4 |
Pages: | 255-257 |
Country: | Brasil |
Language: | Portugués |
Document type: | Artículo |
Approach: | Caso clínico |
English abstract | Colonic obstruction is a very rare complication of gallstone disease. We describe two cases of colonic obstruction by gallstone in old age women, in which the final diagnosis was made on surgery. In one it was found a cholecystocolic fistula and a stone impacted in the sigmoid colon which was milked until the cecum, where it was removed through a cecolithotomy. In the other there was a cholecystoduodenal fistula, the stone was impacted in the sigmoid colon and in association there was a colonic necrosis, treated by colectomy, ileostomy and mucous fistula, During colonic mobilization a colecystoduodenal fistula was exposed, making necessary to perform a cholecystectomy and fistula repair. Both patients died in sepsis |
Disciplines: | Medicina |
Keyword: | Cirugía, Diagnóstico, Gastroenterología, Cálculos, Vías biliares, Fístulas, Ileo biliar |
Keyword: | Medicine, Diagnosis, Gastroenterology, Surgery, Gallstones, Biliary tract, Fistulae, Biliary ileus |
Full text: | Texto completo (Ver PDF) |