25Nov 2023

A CASE REPORT ON BILIARY ILEUS AS A RARE TRIGGER FOR INTESTINAL OBSTRUCTION

  • General Surgery Department, Mohammed VI University Hospital Center of Marrakech, Marrakech, Morocco.
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Introduction: Biliary ileus is a rare mechanical obstruction. It is caused by the entrapment of biliary macro-lithiasis in a portion of the digestive tract arising from a bilio-digestive fistula. We report a clinical case to better understand this disease, as well as to illustrate the diagnostic and therapeutic pitfalls, and to determine the current therapeutic strategy.

Observation: We report the case of a 71-year-old patient who was admitted to the emergency department for an occlusive syndrome consisting of cessation of matter and gas, vomiting and abdominal pain for 48 hours. An injected abdomino-pelvic CT scan showed a biliary ileus with 3 jejunal and ileal enclave lithiases giving a upper intestinal obstruction. There were no signs of acute cholecystitis. Management was straightforward with enterolithotomy alone after correction of hydroelectrolyte disorders. Postoperative management was straightforward.

Conclusion: Biliary ileus is a rare surgical condition. The high mortality rate in the management of this pathology means that enterolithotomy remains the least invasive and most recommended method.


[Youssef Ibneloualid, Mohamed Benchouk, Tariq Ahbala, Elhabib Lammat, Khalid Rabbani and Abdelouahed Louzi (2023); A CASE REPORT ON BILIARY ILEUS AS A RARE TRIGGER FOR INTESTINAL OBSTRUCTION Int. J. of Adv. Res. 11 (Nov). 736-742] (ISSN 2320-5407). www.journalijar.com


Youssef Ibneloualid
General Surgery
Morocco

DOI:


Article DOI: 10.21474/IJAR01/17873      
DOI URL: https://dx.doi.org/10.21474/IJAR01/17873