[Intestinal obstruction secondary to biliary ileus].

OBJECTIVE

To discuss diagnostic and therapeutic implications of gallstone ileus and to report the case of a patient seen at our Hospital due to an intestinal obstruction secondary to gallstone ileus.

REPORT: A 63 years old male with intestinal obstruction secondary to gallstone ileus. Several studies were performed, such as panendoscopy, upper gastrointestinal series, and intestinal transit with poor results preventing a definitive diagnosis. For this reason, the patient underwent an exploratory laparotomy, which showed in this a grant gallstone in a giant jejunum.

TREATMENT: Enterotomy, gallstone extraction, and enteroraphy.

COMMENT: The intestinal obstruction secondary to gallstone ileus is a clinical entity of difficult diagnosis. Accompanying studies usually have low sensibility because other pathologic entities are considered prior to thinking of ileus gallstone.