XXXX : A case report and review of the literature.

@entity1 @entity5990 @entity292 @entity751 @entity1744
INTRODUCTION: @entity5990 can be a lethal disease, rarely suspected in the clinical scenario. It represents about 25% of all @entity1744 cases in @entity1 older than 65. There is a classification of @entity5990 based on the onset time: acute, subacute and chronic ( @entity751 ). We describe the first reported case of chronic @entity5990 . CASE PRESENTATION: A 78-year-old female was admitted to the ER with a 15-day case of consistent @entity1744 . The subject reported a five-year history of recurrent hospital admissions that resolved spontaneously after non-surgical management. @entity751 was diagnosed and managed with enterolithotomy. After five days of postoperative evolution the @entity1 was discharged, and at six months follow up, no other hospital admission or relapse has been registered. DISCUSSION: The @entity5990 diagnosis demands a higher clinical suspicion, there is no biochemical marker, and an abdominal CT is ideal for imaging-based diagnosis. There is no consensus on the optimal surgical approach. CONCLUSION: We describe the first case of @entity751 and a gastro-jejune and gastric-choledochus double @entity292 . We emphasize the importance of higher clinical suspicion for @entity1 with @entity1744 older than 65 years old and make evident that although there are not evidence-based guidelines for this treatment, enterolithotomy is a recommended approach.
