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Meconium ileus (MI) is the result of the accumulation of thick, dry, inspissated meconium that creates a bowel blockage, most commonly in the terminal ileum. These pockets of meconium prevent passage of stool beyond the point of obstruction, which leads to distention of the proximal bowel, bowel wall thickening, and distal microcolon. Occurring most commonly (90%) in conjunction with cystic fibrosis (CF), the occurrence of MI without CF is rare.
View Article and Find Full Text PDFManagement of a Large Bowel Obstruction Secondary to a 5cm Gallstone in a Rural Setting: A Case Report.
Cureus
February 2025
Department of General Surgery, Wimmera Base Hospital, Horsham, AUS.
We present a case of a large bowel obstruction secondary to a large impacted gallstone measuring 5cm in the sigmoid colon. Significant features include a cholecysto-colonic fistula and the presence of a perforation initially missed on imaging. Endoscopic retrieval was attempted, followed by a Hartmann's procedure.
View Article and Find Full Text PDFBouveret Syndrome: A Surgery-Sparing Endoscopic Approach.
Cureus
February 2025
Gastroenterology, Corewell Health West Michigan, Grand Rapids, USA.
Cholelithiasis is a common condition, and complications of gallstone disease include cholecystitis, cholangitis, pancreatitis, and, rarely, gallstone ileus or Bouveret syndrome. We present a case of a 79-year-old male with multiple comorbidities who was treated using endoscopic techniques to avoid the risks associated with surgery. The approach utilized holmium laser lithotripsy and electrohydraulic lithotripsy over multiple sessions to fragment and remove the large gallstone causing a duodenal obstruction.
View Article and Find Full Text PDFGallstone Ileus: An Unusual Cause of Intestinal Obstruction.
Cureus
February 2025
Medicine, Dubai Academic Health Corporation, Dubai, ARE.
Gallstone ileus is a rare complication of gallstone disease, wherein a dislodged gallstone causes bowel obstruction by impaction of the intestines. Elderly patients and those with a history of gallstones are most commonly affected. Symptoms are usually vague and obscure, with patients reporting bloating, nausea and vomiting, early satiety, and constipation.
View Article and Find Full Text PDFSmall bowel perforation caused by a fish bone in a patient with vascular Ehlers-Danlos syndrome: a case report.
J Surg Case Rep
February 2025
Department of Surgery, Nara Medical University 840 Shijo-cho, Kashihara, Nara, Japan.
Management of gastrointestinal perforation in patients with vascular Ehlers-Danlos syndrome (vEDS) is clinically challenging. A male in his 40s with vEDS presented with right lower abdominal pain. Computed tomography revealed a foreign body in the ileum with bowel perforation.
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