Alright, as a quick recap: gallstone ileus is where repeated cholecystitis, or inflammation of the gallbladder, cause a cholecystoenteric fistula to form, allowing gallstones to travel to the small bowel and become lodged, which can lead to mechanical obstruction.

得！快速回顾一下：胆石性肠梗于反复发作胆囊炎，即胆囊炎性疾病，会导致胆囊肠道瘘形成，胆结石可此直接进入小肠使其堵塞，引发机械性肠梗。

So with the price of college tuition being what it is, and my mother had that gallbladder operation, well, we're just a little tapped out at the moment.

我得负担孩子费，外加上我妈妈胆囊炎手术费用，所以，现在手头并不宽裕。

Mrs. Sorrento, you have acute cholecystitis, which means that your gallbladder may have to come out.

Sorrento 夫人，你得了急性胆囊炎，这意味着你胆囊可能要被切掉。

On rare occasion, a large stone (typically over two and a half centimeters) can cause ongoing or repeated inflammation of the gallbladder, which can make the wall of the gallbladder a bit edematous or swollen and slightly more sticky.

在一些罕见情况下，一结石（通常于2.5cm）可以引起持续性或反复性胆囊炎，可能导致胆囊壁轻微水肿或肿胀，伴轻微粘性。

Depending on the severity of the chronic cholecystitis, removal of the gallbladder might be needed even if it hasn't progressed to the porcelain state.

即使未发展至瓷化胆囊，根据慢性胆囊炎严重程度，患者也可能需要接受胆囊切除术。

Signs and symptoms of gallstone ileus include abdominal distension from the blockage, as well as nausea and vomiting, and a history of recurrent right upper quadrant pain, which is consistent with the repeated inflammation of chronic cholecystitis.

胆石性肠梗症状和体征包括梗引起腹胀、恶心、呕吐，反复发作右上腹痛史，这与慢性胆囊炎反复炎症症状一致。

Almost all cases of acute cholecystitis though, about 90%, clear up after about a month and the gallstone dislodges.

但几乎所有急性胆囊炎病例，概90%，都能够在一个月左右痊愈并排出胆石。