Journal: | Revista do Colegio Brasileiro de Cirurgioes |
Database: | PERIÓDICA |
System number: | 000180419 |
ISSN: | 0100-6991 |
Authors: | Godoy, Alvaro Queiroz de1 Tacla-Junior, Oscar Godoy, Andre Reichert da Silva |
Institutions: | 1Santa Casa de Londrina, Londrina, Parana. Brasil 2Fundacao Educacional Serra dos Orgaos, Faculdade de Medicina, Teresopolis, Rio de Janeiro. Brasil |
Year: | 2000 |
Season: | Nov-Dic |
Volumen: | 27 |
Number: | 6 |
Pages: | 425-426 |
Country: | Brasil |
Language: | Portugués |
Document type: | Artículo |
Approach: | Caso clínico |
English abstract | Treatment, morbidity and mortality of patients with gallstone ileus depend on an accurate diagnosis made in time, and also on a more adequate therapeutic option.A detailed clinical evaluation is fundamental for such diagnosis. Complementary exams like a simple radiological study of the abdomen, high and low endoscopies, an ultrasonography, and a tomography can also be performed. The therapeutic options include the removal of the obstructive factor separately, the performance of a treatment in two separate stages, or the performance of a complete treatment (removal of the calculus, cholecystectomy, and the closing of the fistula).This study aims to present a case report of an elderly man of high surgical risk, presenting gallstone ileus. He was submitted to an isolated videoassisted enterolithotomy through a minilaparotomy. Taking into consideration the patients advanced age and the lack of evidence as to other biliary associated pathologies, the chosen treatment seemed to be a good alternative. The evolution was good, and after an 8 month follow-up the patient was found well and with no biliary symptoms whatsoever |
Disciplines: | Medicina |
Keyword: | Cirugía, Diagnóstico, Gastroenterología, Vías biliares, Cálculos, Fístulas, Ileo biliar |
Keyword: | Medicine, Diagnosis, Gastroenterology, Surgery, Biliary tract, Gallstones, Fistulae, Biliary ileus |
Full text: | Texto completo (Ver HTML) |