Gallstone ileus

Kasahara, Yoh; Umemura, Hiroya; Shiraha, Sei; Kuyama, Takeshi; K, Sakata; Kubota, Hidekazu

doi:10.1016/0002-9610(80)90185-3

Cited by 118 publications

(38 citation statements)

References 15 publications

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“…CT is the ideal diagnostic modality with sensitivity, specificity and diagnostic accuracy of over 93%[13]. However, gallstone ileus is often diagnosed only at the time of laparotomy in up to 25% to 50% of cases[5,14,15]. …”

Section: Discussionmentioning

confidence: 99%

Gallstone ileus associated with impaction at Meckel’s diverticulum: Case report and literature review

Lamba¹,

Shi²,

Prabhu³

2016

WJGS

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Gallstone ileus due to erosion of one or more gallstones into the gastrointestinal tract is an uncommon cause of small bowel obstruction. The site of impaction is usually distal ileum, and less commonly the jejunum, colon, duodenum, or stomach. We report a rare case of gallstone ileus with impaction at the proximal small bowel and at a Meckel’s diverticulum (MD) in a 64-year-old woman managed with laparoscopic converted to open small bowel resections. Patient was discharged home in stable condition and remained asymptomatic at 6-mo follow up. We review the current literature on surgical approaches to MD and gallstone ileus. Diverticulectomy or segmental resection is preferred for complicated MD. For gallstone ileus, simple enterolithotomy or segmental resection are the most the most favored especially in older co-morbid patients due to lower mortality rates and the rarity of recurrent gallstone ileus. In addition, laparoscopy has been increasingly reported as a safe approach to manage gallstone ileus.

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Section: Discussionmentioning

confidence: 99%

Gallstone ileus associated with impaction at Meckel’s diverticulum: Case report and literature review

Lamba¹,

Shi²,

Prabhu³

2016

WJGS

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“…The signs of intestinal obstruction like colicky abdominal pain, nausea, vomiting, and constipation are usually present. [346]…”

Section: Discussionmentioning

confidence: 99%

“…Spontaneous biliodigestive fistulae are developed in about 1% of patients with gallstone disease[12] while GI occurs in 0.3–0.5% of them. [3] Besides this, GI accounts for 1–4% among all causes of bowel obstruction. [34] GI in patients after cholecystectomy and/or biliodigestive anastomosis is rare.…”

Section: Introductionmentioning

confidence: 99%

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An intriguing case of gallstone ileus after hepaticojejunostomy caused by a "stone on a suture"

Gachabayov

Mityushin

2016

J Res Med Sci

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Gallstone ileus (GI) is a mechanical obstruction of small or large bowel caused by gallstone passed to the intestinal lumen through spontaneous or postoperative biliodigestive fistula. A 42-year-old female patient was admitted with the clinical presentation of small bowel obstruction. She underwent hepaticojejunostomy 4 years prior to admission for primary sclerosing cholangitis. Barium meal follows through revealed Rigler's triad. The patient underwent laparotomy which revealed GI. A “stone on a suture” was removed through enterotomy. Patients after cholecystectomy and hepaticojejunostomy can develop GI. Nonabsorbable suture used to create biliodigestive anastomosis can appear to become the frame of a “stone on a suture.”

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“…Gallstone ileus accounts for 1-4 percent of all intestinal obstructions. [1][2][3] Such incidence is statistically significant in patients over 70, predominately women. In 80-90 percent of the cases in this age group, patients also have associated diseases which affect one or more systems, mainly cardiovascular diseases and diabetes mellitus.…”

Section: Introductionmentioning

confidence: 99%

Gallstone ileus as a cause of upper intestinal obstruction

et al. 1996

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Gallstone ileus as a cause of upper intestinal obstruction Emergency Room of the Hospital das Clinicas, College ofMedicille, University of Siio Paulo (USP), Trauma Surgery Discipline -Siio Paulo, BrazilGallstone ileus, a mechanical intestinal obstruction caused by the passage of a gallstone into the intestinal lumen through a fistula, although not common, deserves to more carefully studied due to its morbidity and mortality. Its incidence among older-age groups explains its association with chronic and degenerative diseases, which increase the complexity of the treatment choice. The need and appropriateness of a surgical approach to a cholecystenteric fistula to solve the obstructive emergency, in a one or two stage procedure, has been discussed in the literature. It has also been reported that gallstone ileus is an uncommon cause of upper intestinal obstruction. Intestinal obstruction is seen more frequently after a gallstone impacts at the ileocecal valve. The authors report a case of gallstone ileus as a cause of upper intestinal obstruction and discuss its diagnosis and treatment.

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Gallstone ileus

Cited by 118 publications

References 15 publications

Gallstone ileus associated with impaction at Meckel’s diverticulum: Case report and literature review

Gallstone ileus associated with impaction at Meckel’s diverticulum: Case report and literature review

An intriguing case of gallstone ileus after hepaticojejunostomy caused by a "stone on a suture"

Gallstone ileus as a cause of upper intestinal obstruction

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