胆石性回肠炎：不幸的遭遇

IF 0.8 Q3 MEDICINE, GENERAL & INTERNAL

Bangladesh Journal of Medical Science Pub Date : 2024-01-01 DOI:10.3329/bjms.v23i1.70762

Mohammad Zawawi Ya’acob, I. S. Mohamad, Leow Voon Meng, Maya Mazuwin Yahya, Nagarajan T Vellasamy

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引用次数: 0

摘要

胆石症是一种影响全球的常见疾病，其并发症和严重程度多种多样。胆石性回肠梗阻（GSI）是胆石症引起的罕见并发症，主要影响老年人群。GSI 的主要治疗方法是通过取出受影响的胆结石来缓解小肠梗阻。长期以来，GSI 的手术方案一直存在争议，包括单阶段手术（肠取石术、胆囊切除术和瘘管修补术）或两阶段手术（仅进行肠取石术，随后进行胆囊切除术和瘘管修补术）。我们报告了一例 76 岁男性患者的病例，他出现了小肠梗阻症状，腹部计算机断层扫描（CT）证实回肠存在钙化病变，并伴有积气，通过两阶段手术成功治愈。孟加拉国医学杂志》第 23 卷第 01 期 January'24 Page : 272-275

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Gallstone Ileus: Unfortunate Encounter

Gallstone disease is a common burden that affect worldwide that carry broad spectrum of its complications and severities. Gallstone ileus (GSI) remained the rare complication that arise form gallstone disease that mainly affected the elderly population. The mainstay of treatment for GSI is to relieve the small bowel obstruction by extraction of the impacted gallstone. Surgical options for GSI remained the long-standing arguments involve single-staged procedure (enterolithotomy, cholecystectomy and fistula repair) or twostaged procedure (enterolithotomy alone, and cholecystectomy with fistula repair later). We reported a case of a 76-year-old male who presented with symptoms of small bowel obstruction and computed tomography (CT) of abdomen confirmed the presence of calcified lesion at ileum with pneumobilia which was successfully managed with two-staged procedure. Bangladesh Journal of Medical Science Vol. 23 No. 01 January’24 Page : 272-275

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