Gallstone Ileus: Dilemma in the Management

Bakhshi, Girish D.; Chincholkar, Rajesh; Agarwal, Jasmine; Gupta, Madhukar R.; Gokhe, Prachiti; Nadkarni, Amogh R.

doi:10.4081/cp.2017.977

Cited by 10 publications

(12 citation statements)

References 9 publications

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“…In addition, fistulas may be detected. [11,15] In this case, gallstone was visualized in the gallbladder and small intestine. Abdominal CT is the best modality to diagnose GI.…”

Section: Discussionmentioning

confidence: 78%

“…Available options are as follows: (i) Enterolithotomy alone, (ii) two-stage surgery (enterolithotomy followed by cholecystectomy), and (iii) one-stage surgery (enterolithotomy, cholecystectomy, and fistula repair). [15] Bowel resection is necessary if perforation occurs. [1] Factors influencing therapeutic option are age, medical comorbidities, and duration of bowel obstruction.…”

Section: Discussionmentioning

confidence: 99%

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Gallstone Ileus: A Case Report

Darmadi

Ruslie

Samosir³

2020

Open Access Maced J Med Sci

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BACKGROUND: Gallstone ileus (GI) is a mechanical obstruction in the intestinal lumen due to gallstones. Its prevalence is very low, but it possesses a high mortality rate. It is commonly found in older female population. CASE REPORT: We reported a case of GI in a 61-year-old Chinese female, who presented with acute onset of abdominal pain, nausea, and intermittent vomiting. On water-soluble contrast follow-through examination, she showed total bowel obstruction on the level of terminal ileum due to suspected gallstone. Exploratory laparotomy with procedure of enterolithotomy and stone removal by milking the bowel distal to the stone were performed. Post-operative course was uneventful, but the patient was discharged at post-operative day 8. Furthermore, the patient underwent cholecystectomy and fistula repair in the following days (two-stage surgery). She was followed up in the clinic for 12 months and the patient remained asymptomatic. CONCLUSION: GI is a rare medical condition with a high mortality rate, commonly affecting females and elder population. It must be considered in a patient with bowel obstruction, especially with a history of cholelithiasis. Many clinicians prefer enterolithotomy alone, followed by cholecystectomy at later date, because of its lower morbidity and report high spontaneous fistula closure.

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“…In addition, fistulas may be detected. [11,15] In this case, gallstone was visualized in the gallbladder and small intestine. Abdominal CT is the best modality to diagnose GI.…”

Section: Discussionmentioning

confidence: 78%

Section: Discussionmentioning

confidence: 99%

Gallstone Ileus: A Case Report

Darmadi

Ruslie

Samosir³

2020

Open Access Maced J Med Sci

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“…These two cases are the first gallstone cases reported at Cipto Mangunkusumo General Hospital as the tertiary academic hospital at Jakarta, Indonesia in the last 20 years; in accordance with the literature reporting that gallstone ileus referred to a rare case. [1][2][3][4] Both cases were in young adults although the incidence of gallstone ileus in female is 3-5 times to male. 5 Gallstone ileus more commonly found at 65 years rather than under 50.…”

Section: Discussionmentioning

confidence: 99%

“…The incidence is 1-4% of all ileus cases. [1][2][3][4] It presents as mechanical bowel obstruction caused by a gallstone, which passes through the bileenteric fistula and is trapped in the digestive tract between the stomach and rectum. Ileus presents because the gallstone obstructs the Bauhini valve.…”

Section: Introductionmentioning

confidence: 99%

Gallstone Ileus in Cipto Mangunkusumo General Hospital, Jakarta: A Case Series

Lalisang

Hehuwat

Lalisang

et al. 2019

NRJS

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Introduction. Gallstone ileus is an uncommon mechanical bowel obstruction caused by a gallstone in the gastrointestinal tract which enters due to bile-enteric fistulae. This study aims to describe gallstone ileus and its management. Method. Data were retrospectively collected from medical records. Clinical manifestations, laboratory data, supporting radiographic examinations, treatment, postoperative care, and outcomes were collected. Results. We report two gallstone ileus cases at Cipto Mangunkusumo General Hospital, Jakarta which admitted in the last 20 years. The first case was a woman 33 years in 2002 and the second was man 45 years in 2017. Ileus was the main clinical symptoms. Gallstone ileus was diagnosed with preoperatively based on clinical and radiology findings. Laparotomy was performed and ileostomy for stones evacuation and cholecystectomy were performed without bile-enteric fistula repair. Large black stones were found at terminal ileum which made the obstruction. Conclusion. Gallstone ileus was an uncommon disease which can be treated and has a good prognosis. Plain abdominal x-ray has an important role in diagnosis and treatment approach.

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“…Cholecystectomy may also reduce the incidence of cholecystitis, cholangitis and carcinoma of the gall bladder 5. The cholecystectomy may be performed in a ‘one-stage surgery’, where the enterolithotomy and cholecystectomy are performed in same procedure or may be performed in a later séance, typically 4–8 weeks after the gallstone ileus, called ‘two-stage surgery’.…”

Section: Discussionmentioning

confidence: 99%