Gallstone ileus: A case report and review of the literature

Beji, Hazem; Chtourou, Mohamed Fadhel; Zribi, S.; Laamiri, Ghazi; Bouassida, Mahdi; Touinsi, Hassen

doi:10.1016/j.ijscr.2023.108221

Cited by 3 publications

(4 citation statements)

References 22 publications

(22 reference statements)

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“…Gallstones are primarily composed of bilirubin, bile salts, and cholesterol. [21] All 3 radiopaque gallstones in our study showed calcification. However, some gallstones composed of cholesterol and bile salts are radiolucent, [22] in which case CT was not helpful for detecting stones.…”

Section: Discussionmentioning

confidence: 57%

The role of computed tomography in enterolith causing small bowel obstruction: A case series

Zhang,

Xie,

Liu

2023

Medicine

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Intestinal obstruction caused by enteroliths is an uncommon medical condition. Timely detection of the presence of enteroliths and identification of their origin can guide clinical treatment. This study aimed to present the Computed Tomography (CT) features of enterolithic ileus confirmed by surgery in 7 patients. Seven patients with surgically confirmed enterolithic ileus who were admitted to our hospital between December 2013 and December 2022 were continuously enrolled, and an abdominopelvic CT examination was performed before surgery. The imaging characteristics were then analyzed. In the transition zone of all patients with intestinal obstruction, the sharply defined intraluminal masses were found. Three of them had gallstones and 4 had primary enteroliths. All 5 enteroliths in the 4 patients with primary enteroliths were in the proximal small intestine and were low-density with gas. Additionally, 3 gallstones were present in the distal small bowel, and calcifications were observed. Simultaneously, cholecystitis and secondary cholecystoduodenal fistula were observed in all 3 patients with gallstones. Compared to gallstones, primary enteroliths tend to be higher positioned, less dense, and accompanied by gas. CT examination is very important, as it allows accurate identification, location, diagnosis, and identification of complications of the different types of enteroliths to provide a basis for surgery.

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Section: Discussionmentioning

confidence: 57%

The role of computed tomography in enterolith causing small bowel obstruction: A case series

Zhang,

Xie,

Liu

2023

Medicine

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“…The most important outcomes in the preference of surgical modalities are the rate of recurrence and percentage of mortality, which vary and directly depend on the patient's state. Generally, one-stage surgery has a low recurrence rate (8–33 %) [ 2 ], also prevent malabsorption and weight loss from persistent fistula, and prevent cholecystitis, cholangitis, and gallbladder carcinoma but has a high mortality and morbidity rate due to the long operative time; however, this percentage is greatly different in young, healthy patients [ 14 ].…”

Section: Discussionmentioning

confidence: 99%

“…Gallstone ileus is a misnomer for mechanical intestinal obstruction caused by one or more gallstones impacted within the gastrointestinal tract lumen. It is a late complication of gallstone disease that occurs when a gallstone passes through a fistula between the gallbladder and the small bowel “Cholecystoduodenal” which form 32.5–96.5 of all biliary-enteric fistulas [ 1 ], most frequently the duodenum, and finally becomes impacted at the ileocecal valve, resulting in intermittent obstruction with waxing and waning symptom [ [1] , [2] , [3] ].…”

Section: Introductionmentioning

confidence: 99%

Gallstone ileus: An unusual complication of cholelithiasis in a 42-year-old female with no comorbidities

Abuzaina,

Fakhouri,

Makhamre

et al. 2024

International Journal of Surgery Case Reports

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“…Gallstone ileus (GI) is defined as the obstruction of the intestinal lumen resulting from the impaction of one or more sizable gallstones, representing a rare complication of gallstones observed in 1-4% of all instances of nonstrangulating mechanical small bowel obstructions. 1,2 This condition is predominantly manifested in the elderly population. Diagnostic confirmation is frequently achieved through computed tomography (CT) imaging (classical features of which not always present pneumobilia, intestinal obstruction, ectopic gallstones.…”

Section: Introductionmentioning

confidence: 99%

Gallstones ileus in young patient with incidental finding a small bowl carcinoid tumour

Ghaith,

Alsekarnh,

Awad

et al. 2023

Int Surg J

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Gallstone ileus in young patient with incidental finding carcinoid of small bowel identified during exploration for proximal stones, both pathologies have no known pathological reasons to be associated with each other. We present a case of a 45-year-old male who presented with small bowel obstruction as an emergency. At laparotomy we found gall stone impacted in mid ileum and during exploration to exclude multiple proximal stones, small carcinoid identified in mid jejunum. Segmental small bowel resection was performed without disturbing the biliary pathology. Gallstone ileus may manifest in the younger population, and in the course of searching the small bowel to eliminate the presence of multiple stones proximal to the site of the impacted gallstone ileus other pathology may detected for which we incidentally identified asymptomatic carcinoid such case has never been reported before. Importance of a thorough laparotomy is emphasized.

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Gallstone ileus: A case report and review of the literature

Cited by 3 publications

References 22 publications

The role of computed tomography in enterolith causing small bowel obstruction: A case series

The role of computed tomography in enterolith causing small bowel obstruction: A case series

Gallstone ileus: An unusual complication of cholelithiasis in a 42-year-old female with no comorbidities

Gallstones ileus in young patient with incidental finding a small bowl carcinoid tumour

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