scholarly journals Gallstone ileus resulting in strong intestinal obstruction

1995 ◽  
Vol 113 (1) ◽  
pp. 721-725
Author(s):  
Israel Szajnbok ◽  
Fernando Lorenzi ◽  
Aldo Junqueira Rodrigues Jr. ◽  
Luis Fernando Correa Zantut ◽  
Renato Sérgio Poggetti ◽  
...  

Mechanic intestinal obstruction, caused by the passage of biliary calculus from vesicle to intestine, through fistulization, although not frequent, deserve study due to the morbi-mortality rates. Incidence in elder people explains the association with chronic degenerative diseases, increasing complexity in terms of therapy decision. Literature discusses the need and opportunity for the one or two-phase surgical attack of the cholecystenteric fistule, in front of the resolution on the obstructive urgency and makes reference to Gallstone Ileus as an exception for strong intestinal obstruction. The more frequent intestinal obstruction observed is when it occurs a Gallstone Ileus impacting in terms of ileocecal valve. The authors submit a Gallstone Ileus manifestation as causing strong intestinal obstruction, discussing aspects regarding diagnostic and treatment.

1996 ◽  
Vol 114 (4) ◽  
pp. 1239-1243 ◽  
Author(s):  
Israel Szajnbock ◽  
Fernando Lorenzi ◽  
Aldo Junqueira Rodrigues Jr. ◽  
Luis Fernando Correa Zantut ◽  
Renato Sérgio Poggetti ◽  
...  

Gallstone ileus, a mechanical intestinal obstruction caused by the passage of a gallstone into the intestinal lumen through a fistula, although not common, deserves to more carefully studied due to its morbidity and mortality. Its incidence among older-age groups explains its association with chronic and degenerative diseases, which increase the complexity of the treatment choice.The need and appropriateness of a surgical approach to a cholecystenteric fistula to solve the obstructive emergency, in a one or two stage procedure, has been discussed in the literature. It has also been reported that gallstone ileus is an uncommon cause of upper intestinal obstruction. Intestinal obstruction is seen more frequently after a gallstone impacts at the ileocecal valve. The authors report a case of gallstone ileus as a cause of upper intestinal obstruction and discuss its diagnosis and treatment.


2021 ◽  
Vol 8 (8) ◽  
pp. 2432
Author(s):  
Soulé-Martínez Christian Enrique ◽  
Alfaro-Ponce David ◽  
Castellanos-Aguilar Leonel ◽  
Jaimes-Durán Edwing Michel ◽  
Banegas-Ruíz Rodrigo ◽  
...  

Gallstone ileus represents a complication of cholelithiasis, which in the literature has been reported as a rare cause of mechanical intestinal obstruction, however, the reported incidence is not so low, especially after 65 years of age. The formation of a bilioenteric fistula allows the passage of a large gallstone into the intestine, usually impacting the distal intestine. It is associated with a mortality that ranges between 12 and 27%. Treatment is surgical, although there is no consensus on which of the surgical techniques is the one of choice. We report the case of an 87-year-old male patient who was admitted to the emergency department with intestinal obstruction. He was diagnosed with gallstone ileus and was treated surgically with exploratory laparotomy, enterotomy with stone extraction, and primary closure. The evolution was favorable and without complications.


2008 ◽  
Vol 10 (1) ◽  
pp. 22-27 ◽  
Author(s):  
Roch Plewik ◽  
Piotr Synowiec ◽  
Janusz Wójcik

Two-phase CFD simulation of the monodyspersed suspension hydraulic behaviour in the tank apparatus from a circulatory pipe The hydrodynamics in fluidized-bed crystallizers is studied by CFD method. The simulations were performed by a commercial packet of computational fluid dynamics Fluent 6.x. For the one-phase modelling (15), a standard k-ε model was applied. In the case of the two-phase flows the Eulerian multi-phase model with a standard k-ε method, aided by the k-ε dispersed model for viscosity, has been used respectively. The collected data put a new light on the suspension flow behaviour in the annular zone of the fluidised bed crystallizer. From the presented here CFD simulations, it clearly issues that the real hydraulic conditions in the fluidised bed crystallizers are far from the ideal ones.


2020 ◽  
Vol 20 (2) ◽  
pp. 437-458 ◽  
Author(s):  
Félix del Teso ◽  
Jørgen Endal ◽  
Juan Luis Vázquez

AbstractThe classical Stefan problem is one of the most studied free boundary problems of evolution type. Recently, there has been interest in treating the corresponding free boundary problem with nonlocal diffusion. We start the paper by reviewing the main properties of the classical problem that are of interest to us. Then we introduce the fractional Stefan problem and develop the basic theory. After that we center our attention on selfsimilar solutions, their properties and consequences. We first discuss the results of the one-phase fractional Stefan problem, which have recently been studied by the authors. Finally, we address the theory of the two-phase fractional Stefan problem, which contains the main original contributions of this paper. Rigorous numerical studies support our results and claims.


2012 ◽  
Vol 516-517 ◽  
pp. 784-789
Author(s):  
Wei Cao ◽  
Ying Fang ◽  
De Xiang Li

The numerical simulation in the classification has been used in ANSYS CFX 10.0. We described the different flow fields within the classification in accordance with the one-phase simulation experiment, which provided a new theoretical perspective for optimized design on classification. At the same time, the classification efficiency was predicted by simulation for two phase particle trajectory. This will lay a foundation for improving classification efficiency.


1987 ◽  
Vol 109 (4) ◽  
pp. 997-1002 ◽  
Author(s):  
A. Nakayama ◽  
H. Koyama ◽  
F. Kuwahara

The two-phase boundary layer theory was adopted to investigate subcooled free-convection film boiling over a body of arbitrary shape embedded in a porous medium. A general similarity variable which accounts for the geometric effect on the boundary layer length scale was introduced to treat the problem once for all possible two-dimensional and axisymmetric bodies. By virtue of this generalized transformation, the set of governing equations and boundary conditions for an arbitrary shape reduces into the one for a vertical flat plate already solved by Cheng and Verma. Thus, the numerical values furnished for a flat plate may readily be tranlsated for any particular body configuration of concern. Furthermore, an explicit Nusselt number expression in terms of the parameters associated with the degrees of subcooling and superheating has been established upon considering physical limiting conditions.


1986 ◽  
Vol 108 (4) ◽  
pp. 486-488 ◽  
Author(s):  
E. D. Doss ◽  
M. G. Srinivasan

The empirical expressions for the equivalent friction factor to simulate the effect of particle-wall interaction with a single solid species have been extended to model the wall shear stress for multispecies solid-gas flows. Expressions representing the equivalent shear stress for solid-gas flows obtained from these wall friction models are included in the one-dimensional two-phase flow model and it can be used to study the effect of particle-wall interaction on the flow characteristics.


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