A case of gallstone ileus of the colon with illustrative pictures is presented, making the physicians more aware of this rare entity. Furthermore, the use of imaging modalities for diagnosis and decision making in management strategy is discussed.
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| http://dx.doi.org/10.1155/2013/359871 | DOI Listing |
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[Gallstone ileus. Surgery or conservative treatment in a vulnerable octogenarian patient?].
Rev Esp Geriatr Gerontol
December 2024
Servicio de Geriatría, Hospital Universitario La Paz, Madrid, España; Instituto de Investigación Sanitaria del Hospital Universitario La Paz - IdiPAZ (Hospital Universitario La Paz - Universidad Autónoma de Madrid), Madrid, España.
Laparoscopic-Assisted Enterolithotomy for Recurrent Gallstone Ileus: A Case Report.
Cureus
November 2024
Department of General Surgery, Memorial Healthcare System, Hollywood, USA.
Gallstone ileus is the mechanical obstruction of the bowel due to gallstone impaction. It forms when a fistula is created between the gallbladder and the gastrointestinal tract, which can result in small bowel obstruction. Its surgical management ranges from enterolithotomy, cholecystectomy, and fistula closure performed together (one-stage) or performed separately (two-stage), while some patients undergo simple enterolithotomy.
View Article and Find Full Text PDFA little goes a long way: A comparison of enterolithotomy versus single-stage cholecystectomy in the management of gallstone ileus.
J Trauma Acute Care Surg
November 2024
From the Division of Trauma, Critical Care, Emergency Surgery, and Burns, Department of Surgery, College of Medicine, University of Arizona, Tucson, Arizona.
Introduction: Gallstone ileus is an infrequent complication of cholelithiasis with no specific guidelines for its management. This study aims to compare the outcomes of patients with gallstone ileus managed with both enterolithotomy with cholecystectomy (EL-CCY) versus those managed with enterolithotomy (EL) only.
Methods: In this retrospective analysis of 2011-2017 Nationwide Readmissions Database, all patients with an index admission diagnosis of gallstone ileus were included.
From Chronic Gallstone to Acute Ileus: A Case Report.
Cureus
October 2024
Gastroenterology, Nazareth Hospital, Philadelphia, USA.
Article Synopsis
- Gallstone ileus is a rare cause of bowel obstruction that can be difficult to diagnose due to its vague symptoms and the inconsistent presence of Rigler's triad, which includes pneumobilia, bowel obstruction, and ectopic gallstone.
- An 80-year-old woman with abdominal pain was diagnosed with gallstone ileus after a CT scan showed pneumobilia and a calcified mass in the small bowel, which matched earlier images of a large gallbladder mass.
- The case demonstrates the need for healthcare professionals to review past imaging when diagnosing gallstone ileus, highlighting the value of an integrated electronic medical record system to improve diagnostic accuracy.
Gallstone ileus due to cholecystocolonic fistula with transverse colon.
Gastroenterol Hepatol
November 2024
Servicio de Cirugía General y del Aparato Digestivo, Hospital Universitari Arnau de Vilanova, Lleida, España.
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