The biliary obstruction of the small intestine — Barnard syndrome

Introduction and aim: The biliary obstruction of the small intestine (Barnard syndrome) is a rare condition of gastrointestinal obstruction due to gallstones, accounting for approximately 1.4–6% of all obstruction cases. Description of the case: The study presents an 88-year-old woman admitted to the hospital due to abdominal pain and faecal vomiting. An abdominal X-ray revealed single, short levels of fluid and gastrointestinal obstruction was suspected. The patient was qualified for an exploratory laparotomy. In the ileum, a hard, movable lesion with a diameter of 2 cm was found about 10 cm from the Bauhin valve. The stone was evacuated. No complications were observed in the postoperative period, and on the 12th day, the patient was discharged home in good condition. Conclusion: Analysing the above clinical case, it can be concluded that biliary obstruction is a very rare disease, which is difficult to diagnose. It is worth paying attention to the possibility of this disease in patients who suffer from gallstones.