SMALL INTESTINAL OBSTRUCTION AS A RARE COMPLICATION OF GALLSTONE DISEASE

Abstract

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.

Keywords

• gallstone disease
• acute intestinal obstruction
• enterolithomy
• bouveret syndrome