Gallstone ileus (GI) is a rare complication of biliary pathology when a bile stone from gallbladder or exceptionally from the main bile duct, cause an obstruction of the intestinal lumen10. Gallstone ileus incidence has remain constant through the years in 0,9 cases for 100.000 admissions/year6.
The diagnosis is usually difficult because of the abscense of specific symptoms, and sometimes by the partial remission of them during the migration of the bile stone through the intestinal lumen. This situation usually delays the consultation until there is greater compromise of the patient´s general condition. The imaging studies, either simple radiology, ultrasound or computarized axial tomography of the abdomen are useful in the early diagnosis1. The initial treatment for GI is the reanimation and stabilization of the electrolite imbalance that might present on this patients and later perform the surgical resolution of the bowel obstruction.
The objective of this report is to present the finding of a gallbladder cancer in the two-stage resolution of a GI and discuss some aspects about the treatment of this disease.
Developed by Surya MKT