par Narjis, Youssef;Chelala, E.;Dessily, Michaël ;Alle, Jean-Louis
Référence Revue médicale de Bruxelles, 31, 5, page (463-465)
Publication Publié, 2010-09
Référence Revue médicale de Bruxelles, 31, 5, page (463-465)
Publication Publié, 2010-09
Article révisé par les pairs
Résumé : | 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. |