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March 2, 2026BMJ Case Reports

Atypical operative sequence in Barnard’s syndrome: managing gallstone ileus after biliary reconstruction

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Authors

KDKetzarly Gitzelim Gallardo DuránACA Gutiérrez ChávezMexican Social Security InstituteRMRodolfo Julio Castelló MagallanesMexican Social Security Institute

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Implication

Case report details the surgical management of gallstone ileus in an elderly male with biliary complications, indicating the need for prompt evaluation.

Key Points

  • To illustrate the complexities of diagnosing and managing gallstone ileus due to cholecystoduodenal fistula.
  • Detailed case report of a male patient in his early 70s
  • CT imaging was used to identify complications such as pneumobilia and obstruction
  • Surgical intervention involved multiple procedures including cholecystectomy and omental patch repair
  • Initial surgery revealed complications necessitating reoperation
  • Final outcomes included managing intra-abdominal sepsis and ventilator-associated pneumonia
  • Recovery observed following intensive care management

Cite This Study

Durán et al. (2026) studied this question.

synapsesocial.com/papers/69a52de5f1e85e5c73bf1239https://doi.org/10.1136/bcr-2025-271613
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  4. 4Jejunal perforation in gallstone ileus – a case series2007 · 28 citations
  5. 5Gallstone ileus as a complication of cholelithiasis: review of a clinical case2025 · 1 citations