[Surgical treatment of gallstone ileus. Our experience]

The authors relate seven cases of gallstones-ileus observed in a period of 20 years in the surgical division of Fabriano Hospital. The incidence of disease in connection with cholelithiasis and intestinal mechanic occlusion is pointed out. The diagnostic methodologies used don't anticipate radiographic contrast tests and they only consist in a direct abdominal radiological examination and in a hepatobiliary echography. The surgical treatment always consists in a enterolithotomy associated with an efficacious treatment of the hydro-electrolytic lack of balance. The resolution of the intestinal occlusion was performed in 71% of cases.