Íleo biliar colônico

Colonic obstruction is a very rare complication of gallstone disease. We describe two cases of colonic obstruction by gallstone in old age women, in which the final diagnosis was made on surgery. In one it was found a cholecystocolic fistula and a stone impacted in the sigmoid colon which was milked until the cecum, where it was removed through a cecolithotomy. In the other there was a cholecystoduodenal fistula, the stone was impacted in the sigmoid colon and in association there was a colonic necrosis, treated by colectomy, ileostomy and mucous fistula, During colonic mobilization a colecystoduodenal fistula was exposed, making necessary to perform a cholecystectomy and fistula repair. Both patients died in sepsis.

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Bibliographic Details
Main Authors: Cardoso,João Batista, Féres,Omar, Andrade,José Ivan de
Format: Digital revista
Language:Portuguese
Published: Colégio Brasileiro de Cirurgiões 1999
Online Access:http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0100-69911999000400013
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