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Iléus biliaire associé à un diverticule de Meckel: quelles particularités thérapeutiques ?

Biliary ileus associated with Meckel’s diverticulum: what is the best management?

  • Cas Clinique / Clinical Case
  • Published:
Journal Africain d'Hépato-Gastroentérologie

Résumé

Nous rapportons l’observation d’un patient admis pour occlusion intestinale aiguë secondaire à un iléus biliaire, associé à un diverticule de Meckel. Le traitement chirurgical combiné a permis la levée de l’obstacle, le traitement de la fistule cholécystoduodénale et la résection du diverticule de Meckel. Les suites opératoires étaient simples. Les auteurs discutent les particularités du traitement combiné et de l’association au diverticule de Meckel.

Abstract

The authors report the particular case of an intestinal obstruction caused by gallstone ileus, associated with Meckel’s diverticulum. One stage surgery, involving suture of a cholecysto-duodenal fistula and jejunal resection of the diverticulum with extraction of the gallstone, was performed. Post-operative follow-up was uneventful. The authors discuss management strategies for gallstone ileus and its particular association with Meckel diverticulum.

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Références

  1. Chou JW, Hsu CH, Liao KF et al (2007) Gallstone ileus: report of two cases and review of the literature. World J Gastroenterol 13(8):821–825

    Google Scholar 

  2. Kunin N, Morin-Chouarbi V, Prat-Robilliard N et al (2004) Iléus biliaire révélé par un calcul rectal. Gastroenterol Clin Biol 28(11):1184–1185

    Article  PubMed  Google Scholar 

  3. Bornet G, Chiavassa H, Galy-Fourcade D et al (1998) L’iléus biliaire colique: une cause rare d’occlusion colique. J Radiol 79:1499–1502

    PubMed  CAS  Google Scholar 

  4. Oikarinen H, Paivansalo M, Tikkakoski T, Saarela A (1996) Radiological findings in biliary fistula and gallstone ileus. Acta Radiol 37:917–922

    Article  PubMed  CAS  Google Scholar 

  5. Perez Morera A, Perez Diaz D, Calvo Serrano M et al (1996) Obstruccion aguda de colon secundaria a litiasis biliar. Rev Esp Digest 88:805–808

    CAS  Google Scholar 

  6. Erlinger S (2002) La lithiase biliaire. Gastroenterol Clin Biol 26:1018–1025

    PubMed  Google Scholar 

  7. Targarona EM, Ayuso RM, Bordas JM et al (1996) Randomised trial of endoscopic sphincterotomy with gallbladder left in situ versus open surgery for common bile duct calculi in high-risk patients. Lancet 347(9006):926–929

    Article  PubMed  CAS  Google Scholar 

  8. Schutte H, Bastias J, Csendes A et al (1992) Gallstone ileus. Hepato-Gastroenterol 39:562–565

    CAS  Google Scholar 

  9. Swinnen L, Sainte T (1994) Colonic gallstone ileus. J Belge Radiol 77:272–274

    PubMed  CAS  Google Scholar 

  10. Lê P, Chambon H, Madeuf E (2003) Un iléus biliaire. J Chir 140(3):169–170

    Google Scholar 

  11. Kasahara Y, Umemura H, Shiraha S et al (1980) Gallstone ileus. Review of 112 patients in the Japanese literature. Am J Surg 140:437–440

    Article  PubMed  CAS  Google Scholar 

  12. Delabrousse E, Bartholomot B, Sohm O et al (2000) Gallstone ileus: CT findings. Eur Radiol 6:938–940

    Article  Google Scholar 

  13. Lassandro F, Gagliardi N, Scuderi M et al (2004) Gallstone ileus analysis of radiological findings in 27 patients. Eur J Radiol 50:23–29

    Article  PubMed  Google Scholar 

  14. Franklin ME, Dorman JP, Schuessler WW (1994) Laparoscopic treatment of gallstone ileus: a case report and review of the literature. J Laparoendosc Surg 4:265–272

    PubMed  Google Scholar 

  15. Tan YM, Wong WK, Ooi LL (2004) A comparison of two surgical strategies for the emergency treatment of gallstone ileus. Singapore Med J 45: 69–72

    PubMed  CAS  Google Scholar 

  16. Doko M, Zovak M, Kopljar M et al (2003) Comparison of surgical treatments of gallstone ileus: preliminary report. World J Surg 27:400–404

    Article  PubMed  Google Scholar 

  17. Sfairi A, Patel JC (1997) L’iléus biliaire: plaidoyer pour le traitement simultané de l’occlusion et de la maladie biliaire. J Chir 134(2): 59–64

    CAS  Google Scholar 

  18. Stone PA, Hofeldt MJ, Campbell JE et al (2004) Meckel Diverticulum: ten-year experience in adults. South Med J 97:1038–1041

    Article  PubMed  Google Scholar 

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Authors and Affiliations

  1. Service de chirurgie viscérale-I, hôpital militaire d’instruction Mohammed-V, CHU Ibn-Sina, Rabat, Maroc

    S. -M. Bouchentouf, I. Sall, H. El Kaoui, H. Baba, A. Aitali, A. Zentar & K. Sair

Authors
  1. S. -M. Bouchentouf
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  2. I. Sall
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  3. H. El Kaoui
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  4. H. Baba
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  5. A. Aitali
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  6. A. Zentar
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  7. K. Sair
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Corresponding author

Correspondence to S. -M. Bouchentouf.

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Bouchentouf, S.M., Sall, I., El Kaoui, H. et al. Iléus biliaire associé à un diverticule de Meckel: quelles particularités thérapeutiques ?. J Afr Hepato Gastroenterol 3, 32–34 (2009). https://doi.org/10.1007/s12157-009-0071-3

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  • DOI: https://doi.org/10.1007/s12157-009-0071-3

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