Authors :
Dr Errabi Mohammed Nizar; M. N. Errabi; M. Menfaa; H. krimou; M. Y. Cissé; A. Kawkabi; S. Belhamidi; S. Hasbi; F. Sakit; A. Choho
Volume/Issue :
Volume 7 - 2022, Issue 4 - April
Google Scholar :
https://bit.ly/3IIfn9N
Scribd :
https://bit.ly/3Nj5h1L
DOI :
https://doi.org/10.5281/zenodo.6555414
Abstract :
Biliary ileus is due to the enclosure of a biliary
calculus, having migrated through a bilio-digestive
fistula. We report the case of a patient admitted for a
sub-occlusive syndrome. The abdominal CT scan showed
hydroaeric distension of the gallbladder upstream of a
large obstructive stone in an ileal loop.
Median laparotomy reveals a large stone straddling
the jejunum and the ileum, an umbilicated vesicular bed
on a scleratrophic vesicle intimately adherent to the
supra duodenal genus. After intestinal emptying, a
longitudinal enterotomy is performed in front of the
stone, which is extracted by digital expression, then a
transverse enteroplasty is performed according to the
Mickulicz technique.
Keywords :
Biliary ileus; bilio-digestive fistula; Mickulicz technique;
Biliary ileus is due to the enclosure of a biliary
calculus, having migrated through a bilio-digestive
fistula. We report the case of a patient admitted for a
sub-occlusive syndrome. The abdominal CT scan showed
hydroaeric distension of the gallbladder upstream of a
large obstructive stone in an ileal loop.
Median laparotomy reveals a large stone straddling
the jejunum and the ileum, an umbilicated vesicular bed
on a scleratrophic vesicle intimately adherent to the
supra duodenal genus. After intestinal emptying, a
longitudinal enterotomy is performed in front of the
stone, which is extracted by digital expression, then a
transverse enteroplasty is performed according to the
Mickulicz technique.
Keywords :
Biliary ileus; bilio-digestive fistula; Mickulicz technique;
