Gallstone Ileus: Diagnosis and Management

Ayantunde, Abraham; Agrawal, Amit

doi:10.1007/s00268-007-9011-9

Cited by 221 publications

(308 citation statements)

References 35 publications

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“…Rigler’s triad of pneumobilia, an ectopic gallstone, and dilated small bowel on abdominal x-ray is classic but is only seen in 30%–35% of cases [6]. Classic CT scan findings are pneumobilia, cholecystoduodenal fistula and a gallstone in the duodenum [2,3,15]. Although, 15%–25% of gallstones cannot be visualized on CT scan as they can be isoattenuating.…”

Section: Discussionmentioning

confidence: 99%

Rare cause of gastric outlet obstruction

Gandhi

Jani

2018

Journal of Community Hospital Internal Medicine Perspectives

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Bouveret’s syndrome is a rare cause of gastric outlet obstruction. The stones enter the small bowel via cholecysto-enteric fistula. The most common presenting symptoms are abdominal pain, nausea and vomiting. The gold standard diagnostic test isesophagogastroduodenoscopy (EGD). Rigler’s triad on abdominal x-ray is classic. CT scan findings are pneumobilia, cholecystoduodenal fistula and a gallstone in the duodenum. We present a case of a 75-year-old female who presents with 3 week history of nausea, vomiting, and diffuse abdominal pain. Initial presentation, imaging and EGD was concerning for malignancy. She was later diagnosed to have Bouveret’s syndrome and underwent laparoscopic small bowel enterotomy with removal of gallstones

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Section: Discussionmentioning

confidence: 99%

Rare cause of gastric outlet obstruction

Gandhi

Jani

2018

Journal of Community Hospital Internal Medicine Perspectives

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“…Delay in the diagnosis of GI has a high morbidity and mortality rates. Ayantunde et al [4] reported that an average presentation of these patients to the hospital 3 days from symptom onset. Consistent with these findings, in our case, patient was admitted with nausea, abdominal pain and bilious vomiting.…”

Section: Discussionmentioning

confidence: 99%

Gallstone ileus: Computed tomography findings

Ufuk¹

2018

Pau Med J

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Gallstone ileus (GI) is an unusual but serious complication of biliary stone and it is caused by a fistula between the bile ducts and stomach, duodenum or colon. Gallstone that reaches the intestinal tract can be cause ileus. Early diagnosis with imaging modalities (such as computed tomography) and treatment of ileus are of great importance for survival. In addition, accurate diagnosis of underlying cause of the ileus is also important because it will guide the surgeon.We present a 73-year old patient with gallstone ileus preoperatively diagnosed with computed tomography (CT). CT showed gastric distention, dilated duodenal and jejunal small bowel loops, a calculus in the jejunal segment of the small bowel and enteral contrast medium reflux into the fistula tract and bile ducts.Pam Med J 2018;11(2):161-163 Key words: Gallstone ileus, computed tomography, complication, small bowel obstruction ÖzetSafra taşı ileusu, safra yolu taşlarının nadir ancak ciddi bir komplikasyonu olup safra yolları ile mide, duodenum veya kolon arasındaki fistül nedeniyle oluşur. İntestinal sisteme ulaşan safra taşı ileusa neden olabilir. Görüntüleme yöntemleriyle (Bilgisayarlı tomografi gibi) safra taşı ileusunun erken tanısı ve ileusun erken tedavisi sağkalım açısından büyük öneme sahiptir. Ayrıca, altta yatan ileus sebebinin doğru tanısı cerrahiye yol göstereceğinden önemlidir. Biz burada, bilgisayarlı tomografi (BT) ile operasyon öncesi safra taşı ileusu tanısı konulan 73-yaşında bir hasta sunuyoruz. BT'de midede distansiyon, duodenal ve jejunal ince barsak anslarında dilatasyon, jejunumda taş ve oral kontrast maddenin fistül traktına ve safra yollarına reflüsü gösterilmektedir.

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“…Plain abdominal radiographs may reveal signs of small-bowel obstruction and concomitant aerobilia, which is also supportive of gallstone ileus 9 . However, the diagnosis of gallstone ileus is still frequently missed or delayed, and an accurate preoperative diagnosis is made in only 77 of cases 10 . The classical radiological triad for this diagnosis is pneumobilia, the presence of an ectopic gallstone, and mechanical bowel obstruction 11 .…”

Section: Discussionmentioning

confidence: 99%

A Case of Gallstone Ileus

Umemoto

Shinmura

Shimada

et al. 2012

Showa Univ J Med Sci

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: A 57-year-old woman was admitted to our hospital with abdominal pain and vomiting. Her abdomen was distended, and obstructive bowel sounds were discovered on examination. Diffuse abdominal tenderness was present, but no palpable masses were apparent. Abdominal computed tomography confirmed a large gallstone obstructing the small bowel. Colonoscopy revealed a large gallstone lodged at the terminal ileum, which was subsequently fragmented using electronic hydraulic lithotripsy EHL . The patient has remained asymptomatic for over 3 years of follow-up after the EHL treatment.Here, we present this case of small intestinal obstruction caused by a large gallstone in the lower ileum.

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Gallstone Ileus: Diagnosis and Management

Cited by 221 publications

References 35 publications

Rare cause of gastric outlet obstruction

Rare cause of gastric outlet obstruction

Gallstone ileus: Computed tomography findings

A Case of Gallstone Ileus

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