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Biliar ileus

María Victoria Vieiro Medina, Ramón Gómez Sanz, Eneida Bra Insa, Iván Domínguez Sánchez, Marta de la Fuente Bartolomé, David Díaz Pérez, Oana Anisa Nutu, Felipe de la Cruz Vigo
We present the case of a 69 year old woman with a history of cholecystitis, who consulted for severe abdominal pain, nausea and vomiting. Abdominal CT showed duodenal obstruction caused by a gallstone, cholecystoduodenal fistula and pneumobilia, what is known as Bouveret's syndrome, a rare form of gallstone ileus. Additionally, she presented free duodenal and vesicular perforation to retroperitoneum at the same level of the cholecystoduodenal transit point. The patient underwent a difficult cholecystectomy, enterolithotomy, repair of the duodenal defect, extensive washing and drainage of the retroperitoneum...
June 2016: Revista Española de Enfermedades Digestivas
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