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Jejunum-Biliary Intestinal Obstruction - Case Report

Volume 1 - Issue 6

Miguel Prestes Nácul*, Marcelo Velloso Fabris and Ricardo Gonçalves Da Costa

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    • Minimally Invasive Surgery Institute of Education and Research, Porto Alegre, Brazil

    *Corresponding author: Miguel Prestes Nácul, Minimally Invasive Surgery Institute of Education and Research Moinhos de Vento Hospital - Porto Alegre, Rua dos Andradas, 1781/404, Bairro Centro CEP 91410-001 - Porto Alegre, RS, Brazil

Received: October 10, 2017;   Published: November 06, 2017

DOI: 10.26717/BJSTR.2017.01.000497

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Introduction: Intestinal obstruction by a gallstone (biliary jejunum) is an uncommon and potentially serious omplication of chronin cholecystitis. Ileum gallstone represents 25% of non-strangulation obstructions in the small bowel causing 1% to 3% of all obstruction surgeries. Biliary ileum located in the proximal jejunum is a rare condition and the treatment post minimum invasive technic tends to be the best therapeutic option when available.

Material and Method: case report of 87 years old female diagnosed with duodenum biliary post acute cholecystitis.

Results: After frustrated attempt of gallstone removal by upper digestive endoscopy, the gallstone migrated to proximal jejunum. After observation expecting for the gallstone to evolve through the small bowel, surgery was opted due to the obstrucion maintenance. The patient was submitted for a videolaparoscopy to remove the 4 cm gallstone by enterotomy and enterorrhaphy. No complications were presented after surgery.

Conclusion: The option for a videolaparcopy approach showed effective, even more in a elderly patient in a matter of fact of decrease morbidity and mortality related to the abdominal wall.

Keywords: Biliary Jejunum; Chronic Cholecystitis; Videolaparoscopy

Abbreviations: JB: Jejuno Biliar; CT: Computed Tomography

Abstract| Introduction| Case Report| Discussion| Conclusion| References|