A rare case of recurrent biliary obstruction

Abstract

   Introduction. Сholelithiasis is the most frequent cause of surgical interventions worldwide. However, a complication of this multifaceted nosology in the form of biliary ileus is relatively rare. The frequency of recurrent, so called "staged" biliary intestinal obstruction is even lower: there are almost no reports of such cases in the literature. This article presents a rare case of recurrent small intestinal biliary obstruction in the early postoperative period, which required two surgical interventions during a single hospital stay.

   Materials and methods of research. A medical history of a patient treated in the surgical department of Municipal Clinical Hospital № 31 in April 2022.

   Treatment results. The patient was discharged in a satisfactory condition on the 10^th day after repeated surgery.

   Conclusion. The recurrence of biliary intestinal obstruction is an extremely rare and difficult to detect complication, but one that nevertheless deserves attention. It should be suspected in patients who have undergone surgery for cholelithiasis if they have a clinical picture of intestinal paresis in the post-operative period. In such a case an urgent abdominal ultrasound and dynamic overview radiography should be performed to rule out a possible recurrence.