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¿Piedras biliares en el íleo 16 años después de la colecistectomía?
Roma Tarar1,2, Anishur Rahman2
1New York Institute of Technology College of Osteopathic Medicine, 100 Northern Blvd Glen Head, Old Westbury, NY 11542, USA.
Radiology case reports
|September 2, 2025
Resumen
El íleo de cálculos biliares es una obstrucción intestinal rara causada por cálculos biliares. Este informe de caso detalla un caso excepcionalmente raro de íleos de cálculos biliares ocurridos 16 años después de la cirugía de extirpación de la vesícula biliar.
Área de la Ciencia:
- Gastroenterología
- Informes de casos quirúrgicos
- Cirugía abdominal
Sus antecedentes:
- El íleo de cálculos biliares es una obstrucción intestinal mecánica rara causada por cálculos biliares.
- Por lo general, ocurre en pacientes con antecedentes de enfermedad de la vesícula biliar.
- El íleo de cálculos biliares después de la colecistectomía es excepcionalmente raro.
Objetivo del estudio:
- Para reportar un caso único de cálculo biliar.
- Para discutir los posibles mecanismos detrás de esta rara complicación.
- Para resaltar la importancia de considerar presentaciones inusuales después de la colecistectomía.
Principales métodos:
- Informe de caso de un hombre de 87 años que presentaba dolor abdominal.
- Imágenes de diagnóstico y laparotomía exploratoria.
- Eliminación quirúrgica del cálculo biliar obstruido.
Principales resultados:
- Se encontró un cálculo biliar de 2,0 cm × 2,5 cm que obstruía el íleon terminal.
- El paciente tenía antecedentes de colecistectomía 16 años antes.
- El paciente se recuperó bien después de la intervención quirúrgica.
Conclusiones:
- El íleo de cálculos biliares puede ocurrir años después de la colecistectomía, posiblemente debido a procedimientos subtotales o problemas de conductos remanentes.
- Este caso subraya la posibilidad de complicaciones raras incluso después de intervalos extendidos.
- El conocimiento de tales presentaciones raras es crucial para el manejo quirúrgico.
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