Aim: To report an another case of gallstone ileus in ederly patient that was treated with simple enterolithotomy.
Material Of Study: We report a case of 84 years old female that was admitted with intestinal obstruction. A CT scan suggested small bowel obstruction secondary to gallstone ileus. In relation to the overall clinical condition, we decided to perform a simple enterolithotomy.
Discussion: The first case of a cholecysto intestinal fistula with a gallstone within the gastro intestinal tract was described n 1654 by, Thomas Bartholin in a necropsy study. It constitutes the etiologic factor in less than 5% of cases of intestinal obstruction, but up to one quarter of nonstrangulated small bowel obstructions in elderly patients.
Conclusion: In conclusion gallstone ileus is increasingly common, especially in the context of an aging population in developed helthcare system. It is an important differential diagnosis in ederly patients presenting with small bowel obstruction because it has a high mortality rate.
Key Words: Enterolithotomy, Gallstone ileus, Intestinal obstruction.
Download full-text PDF |
Source |
|---|
Publication Analysis
Top Keywords
Similar Publications
Gall Stone Ileus and Recurrence: Management Dilemma for the Operating Surgeon.
Cureus
December 2024
Department of Surgery, Royal Oldham Hospital, Northern Care Alliance NHS Trust, Manchester, GBR.
Gallstone ileus (GSI) is a rare complication of gallstone disease. It occurs as a result of the passage of a stone from the biliary tract into the gastrointestinal tract via an abnormal pathway (bilio-enteric fistula). Chronic inflammatory processes result in gall bladder adhering and subsequently eroding into the intestines, leading to a fistula.
View Article and Find Full Text PDFLaparoscopic surgery for gallstone ileus.
BMJ Case Rep
January 2025
Department of General Surgery, Ealing Hospital, London North West University Healthcare NHS Trust, London, UK.
We present a case of a woman in her 70s who arrived in the emergency department with signs of small-bowel obstruction. CT scanning revealed acute cholecystitis with a cholecystoduodenal fistula, pneumobilia and small-bowel obstruction possibly secondary to gallstone ileus although no radio-opaque gallstones were seen. The patient underwent an emergency operation and intra-operative findings revealed mechanical small-bowel obstruction of the proximal jejunum where a 4×2 x 3 cm gallstone was impacted.
View Article and Find Full Text PDFGastroduodenal Obstruction Due to Bouveret's Syndrome: A Case Report.
Cureus
December 2024
Surgery, Hospital General Tacuba, Institute for Social Security and Services for State Workers (ISSSTE), Mexico City, MEX.
Bouveret's syndrome is a rare disorder that causes upper gastrointestinal obstruction, typically in elderly patients with a history of chronic cholelithiasis. We present an unusual case of a 58-year-old woman with untreated vesicular lithiasis who developed Bouveret's syndrome. She presented with severe abdominal pain, nausea, vomiting, and abdominal distension.
View Article and Find Full Text PDFGallstone Ileus as an Occult Cause of Small Bowel Obstruction and Subsequent Large Bowel Obstruction: A Report of a Rare Case.
Cureus
December 2024
General Surgery, New York University (NYU) Langone Health, New York City, USA.
Gallstone ileus, a rare cause of mechanical bowel obstruction, occurs due to the formation of a cholecystenteric fistula allowing gallstones to migrate into the gastrointestinal tract. The condition occurs mostly in elderly patients, particularly women, and carries a significant mortality risk due to delayed diagnosis. This case report discusses a 77-year-old female patient with a history of chronic medical conditions, who self-presented with periumbilical pain, nausea, and reduced bowel movements.
View Article and Find Full Text PDF[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.
Want AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!