Gallstone Ileus as a Cause of Acute Abdomen. Importance of Early Diagnosis for Surgical Treatment

Martín-Pérez, Jesica; Delgado‐Plasencia, Luciano; Bravo‐Gutiérrez, Alberto; Burillo-Putzé, Guillermo; Martı́nez-Riera, Antonio; Alarcó-Hernández, Antonio; Medina-Arana, Vicente

doi:10.1016/j.cireng.2013.01.008

Cited by 13 publications

(16 citation statements)

References 17 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Recurrence of gallstone ileus occurs in 5% of cases, with 85% within 6 months of the initial episode. 10 In our case of recurrent gallstone ileus, enterotomy was performed 2 years previously for the first episode, but the gallstone spontaneously evacuated in the second episode. The second gallstone was smaller than the first, which is considered to be the key factor in the gallstone evacuating spontaneously.…”

Section: Discussionmentioning

confidence: 85%

“…And enterotomy with stone extraction remains the most popular surgical option; however, consistent with our case, there are some reports of spontaneous resolution of gallstone ileus, with patients passing the stones through the rectum, although there is no clear indicator of whether spontaneous evacuation of gallstones can be expected. Recurrence of gallstone ileus occurs in 5% of cases, with 85% within 6 months of the initial episode …”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Gallstone ileus with spontaneous evacuation: A case report

Takahashi

Kashimura

Konno

et al. 2018

J of Gen and Family Med

View full text Add to dashboard Cite

A 65‐year‐old man was referred to our hospital for abdominal pain. He had a history of enterotomy with stone extraction for gallstone ileus. On abdominal computed tomography, a stone measuring 32 × 28 mm lodged in the jejunum was identified. He was diagnosed with gallstone ileus and treated using a nasal ileus tube. Four days after admission, computed tomography showed that the stone had passed into the rectum. The gallstone was spontaneously evacuated on the same day. A fistula with the gallbladder was found in the duodenal bulb. The patient's condition improved, and he was discharged 9 days after admission.

show abstract

Section: Discussionmentioning

confidence: 85%

Section: Discussionmentioning

confidence: 99%

Gallstone ileus with spontaneous evacuation: A case report

Takahashi

Kashimura

Konno

et al. 2018

J of Gen and Family Med

View full text Add to dashboard Cite

show abstract

“…Jaundice has been found in only 15% of patients or less. Upper gastrointestinal bleeding, secondary to duodenal erosion caused by the offending gallstone, with hematemesis and melena, can be seen in 15% and 7%, respectively [9,10].…”

Section: Discussionmentioning

confidence: 99%

Gallstone Ileus: An Uncommon Cause of Acute Abdomen

Saouab¹

2019

IJMI

View full text Add to dashboard Cite

Gallstone ileus is a rare cause of acute abdomen, representing less than 1% of intestinal obstruction. It is due to mechanical small bowel obstruction (SBO) by a migrated gallstone. we report this observation to illustrate the imaging findings especially in CT scan. A 62-year-old woman was admitted to emergency for acute bowel obstruction. The CT scan has confirmed jejunal bowel distension with fluid levels upstream endoluminal formation which was rounded and well limited, measuring 5 cm of long axis. This training was slightly hyperdense with hypodense areas of fat density. Moreover, there was aerobilia with multiple fistulas between the duodenum (D1) and gallbladder, which was empty. The triad of aerobilia, small bowel obstruction and migrant gallstone was suggestive of gallstone ileus diagnosis. The patient was operated with good evolution. Gallstone ileus is an uncommon presentation of gallstone disease. It is frequently observed in elderly patients with a history of cholelithiasis or cholecystitis. Early diagnosis is crucial and would avoid morbidity and mortality related to this disease. CT scan shows the classical triad of Rigler with pneumobilia, an ectopic stone and mechanical ileus. CT may improve the diagnosis providing important information regarding the exact number, size, and location of ectopic stones and the site of intestinal obstruction or direct visualization of a biliary-enteric fistula, to help clinicians in the therapeutic management of patients.

show abstract

“…Finally, such high pressure can result in bowel ischemic necrosis or perforation, especially in patients with jejunal diverticula. [7][8][9] Our patient had rapidly progressed within 1 day to having acute abdominal pain, total bowel obstruction, and rapidly elevated intraluminal pressure compromising the perfusion of bowel to several patches of wall necrosis. The reason for such rapidly progressing disease was associated with his underlying cardiovascular disease and a huge stone in the small lumen.…”

Section: Discussionmentioning

confidence: 99%

“…The perforated site can be located in the jejunum, ileum, or sigmoid. [6][7][8][9][10][11][12][13][14][15] The possible mechanism is that mucosal ulcer with bowel perforation can develop after direct high-pressure compression by an impacted stone. The impacted stone also can cause severe bowel obstruction, leading to high intraluminal pressure in the jejunum.…”

Section: Discussionmentioning

confidence: 99%

Gallstone Ileus With Jejunum Perforation Managed With Laparoscopic-Assisted Surgery: Rare Case Report and Minimal Invasive Management

Lee

Yin

Chen

2015

International Surgery

View full text Add to dashboard Cite

Gallstone ileus is an uncommon complication of cholelithiasis. Most patients affected by gallstone ileus are elderly and have multiple comorbidities. Symptoms are vague and insidious, which may delay the correct diagnosis for days. Here we are reporting an uncommon complication of gallstone ileus. We report on a 70-year-old man with small bowel obstruction at the jejunum due to an impacted stone, which led to necrosis and perforation of the proximal bowel wall. Laparoscope-assisted small bowel resection with enterolithotomy was used to successfully treat the patient's perforation and obstruction. His recovery was uneventful. Gallstone ileus commonly presents with bowel obstruction, but intestinal perforation occurs very rarely. A laparoscopic approach can provide both diagnostic and therapeutic roles in management.Key words: Gallstone ileus -Jejunal perforation -Laparoscopic surgery -Intestinal obstruction G allstone ileus is characterized by intestinal obstruction due to intraluminal impaction of one or more gallstones. It is an uncommon but serious complication of cholelithiasis and accounts for 1% to 3% of cases of patients who undergo surgery for bowel obstruction.1,2 A cholecystoduodenal fistula is the most common tract. 3 Most patients are elderly and female, and the average age range is 65 to 75 years. In spite of treatment, the mortality rate ranges from 10% to 20%. 4,5 Gallstone ileus with proximal small bowel perforation is rare, and fewer than 10 cases have been

show abstract

Gallstone Ileus as a Cause of Acute Abdomen. Importance of Early Diagnosis for Surgical Treatment

Cited by 13 publications

References 17 publications

Gallstone ileus with spontaneous evacuation: A case report

Gallstone ileus with spontaneous evacuation: A case report

Gallstone Ileus: An Uncommon Cause of Acute Abdomen

Gallstone Ileus With Jejunum Perforation Managed With Laparoscopic-Assisted Surgery: Rare Case Report and Minimal Invasive Management

Contact Info

Product

Resources

About