Abstract

ZURITA CESPEDES, Brian Iván  and  MORALES AUZA, Daneiva Lucy. Upper intestinal obstruction secondary to gallstone ileus. A diagnostic challenge in the elderly. Gac Med Bol [online]. 2023, vol.46, n.1, pp.108-112.  Epub June 01, 2023. ISSN 1012-2966.  https://doi.org/10.47993/gmb.v46i1.627.

Gallstone ileus is a rare pathology and it arises more frequently in the elderly as a complication of cholelithiasis. It is a disease in which a stone from the biliary tree conditions mechanical obstruction with dilatation and subsequent inflammation of intestinal loops. Its clinical presentation is usually non-specific, resulting in a diagnostic challenge it is accompanied by pain and abdominal distension nausea, vomiting and alteration of the evacuatory rhythm. Treatment generally requires a surgical approach in order to prevent the development of other complications. We present the clinical case of a male patient, elderly, who attends the Japanese Bolivian Gastroenterology Institute of Cochabamba, Bolivia, with a nonspecific presentation of the clinical picture after a previous hospitalization that did not resolve the initial picture and whose diagnosis required performance of extended imaging studies, such as contrast- enhanced computed tomography, for subsequent surgical resolution.

Keywords : intestinal obstruction; biliary fistula; stones; elderly.

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