| Revista: | Revista do Colegio Brasileiro de Cirurgioes |
| Base de datos: | PERIÓDICA |
| Número de sistema: | 000180419 |
| ISSN: | 0100-6991 |
| Autores: | Godoy, Alvaro Queiroz de1 Tacla-Junior, Oscar Godoy, Andre Reichert da Silva |
| Instituciones: | 1Santa Casa de Londrina, Londrina, Parana. Brasil 2Fundacao Educacional Serra dos Orgaos, Faculdade de Medicina, Teresopolis, Rio de Janeiro. Brasil |
| Año: | 2000 |
| Periodo: | Nov-Dic |
| Volumen: | 27 |
| Número: | 6 |
| Paginación: | 425-426 |
| País: | Brasil |
| Idioma: | Portugués |
| Tipo de documento: | Artículo |
| Enfoque: | Caso clínico |
| Resumen en inglés | 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 |
| Disciplinas: | Medicina |
| Palabras clave: | Cirugía, Diagnóstico, Gastroenterología, Vías biliares, Cálculos, Fístulas, Ileo biliar |
| Keyword: | Medicine, Diagnosis, Gastroenterology, Surgery, Biliary tract, Gallstones, Fistulae, Biliary ileus |
| Texto completo: | Texto completo (Ver HTML) |
