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Introduction: Rice cake is a traditional but very popular food in Asia including Japan and has never been known as a cause of ileus. Rice cake is now becoming widespread in the United States and European countries along with other Japanese foods. We may encounter rice cake ileus all over the world.

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[Biliary ileus--a rare complication of cholecystolithiasis].

Rozhl Chir

October 2007

II. chirurgická klinika, Lekárska fakulta Univerzity Pavla Jozefa Safárika, Kosice, Fakultná nemocnica L. Pasteura, Kosice, Slovenská republika.

The diagnosis of ileus caused by biliary stones occurs very rarely, with the range of 2 % worldwide. This complication of cholecystolithiasis caused by the stone fistulation into gastrointestinal tract and its subsequent obstruction occurs mostly in elderly and has a high mortality rate. During the course of ten years (1996-2006) in the 2nd surgical clinic FNLP in Kosice, 1640 cholecystectomies and 255 operations, due to the obstruction ileus, were performed.

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[Biliary ileus--a missed cause of intestinal obstruction].

Rozhl Chir

February 2007

Chirurgická klinika Fakultní nemocnice Ostrava, Ostrava-Poruba.

Introduction: Biliary ileus is a rare complication of cholelithiasis, counting for 1-4% of all intestinal obstructions. The aim of the work is to summarize diagnostic and treatment options, assess significance of laparoscopy in this rare form of ileus, based on the authors' own experience and available literature.

Patients And Methods: The retrospective study analyzed data of patients operated for biliary ileus in the Surgical clinic of the Faculty Hospital in Ostrava during 2002-2006.

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We demonstrate a patient with a fistula between the gallbladder and the small intestine combined with a gallstone ileus of the small bowel, diagnosed by ultrasound. Plain abdominal X-ray only revealed small bowel obstruction. All the typical diagnostic criteria of a biliodigestive fistula could be detected by ultrasound.

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In contrast to childhood intussusception, the clinical signs of intussusception in adults are nonspecific. Generally organic alterations of the small bowel cause intussusception in adults. In this case report on a retrograde jejunojejunal intussusception in a 61-year-old male, following removal of an intraoperatively placed intestinal tube for ileus therapy, the clinical symptoms, diagnostic methods and therapy for intussusception are described.

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