Biliary Ileus: A Case Report with a Brief Review


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;

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