Open AccessSMALL INTESTINAL OBSTRUCTION AS A RARE COMPLICATION OF GALLSTONE DISEASE
Author(s) -
V.I. Davydkin,
П. И. Карпушкина,
А. В. Пигачев
Publication year - 2020
Publication title -
vestnik hirurgii im. i.i. grekova/vestnik hirurgii imeni i.i. grekova
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.136
H-Index - 7
eISSN - 2686-7370
pISSN - 0042-4625
DOI - 10.24884/0042-4625-2019-178-6-59-62
Subject(s) - medicine , complication , duodenum , lumen (anatomy) , gastroenterology , cholecystitis , fistula , disease , rare disease , gallstones , gallbladder , terminal ileum , acute cholecystitis , ileum , general surgery , surgery
Small intestinal obstruction is a very rare complication of gallstone disease. It occurs when large stones are found in the gallbladder for a long time, which penetrate into the lumen of the duodenum through the cholecysto-duodenal fistula. Obstruction is more often observed in the terminal part of the ileum. The clinic is atypical and has a two-phase character. At the beginning of the disease, the clinic resembles acute cholecystitis, and then the clinical picture of acute intestinal obstruction develops. With the viability of the small intestine, the enterolithotomy is the optimal operation.