[Biliary ileus: diagnostic and therapeutic aspects. Report of a case]. / L'iléus biliaire : réflexions diagnostiques et thérapeutiques. A propos d'une observation.

ABSTRACT

We report a rare case of small bowel gallstone obstruction in a patient with cholecystointestinal fistula. Diagnosis of this condition is usually difficult and only achieved at surgery. We review the radiological findings, particularly the CT findings, helpful for diagnosis ectopic gallstone, biliary gas and fistula. Early preoperative diagnosis could reduce morbidity and mortality. Treatment is surgical with enterolithotomy. There is some controversy over the need to repair the fistula.