Gallstone ileus secondary to a cholecystocolonic fistula

Roade, Luisa; Ventura-Cots, Meritxell; Riveiro‐Barciela, Mar

doi:10.1016/j.gastrohep.2018.05.006

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“…The smallest diameter of the gut in the entire GI tract with reduced peristalsis and stasis due to the ileocaecal valve may cause impaction in the terminal ileum. In our case, the site of impaction was in the distal jejunum, probably owing to the larger size of the calculus [5]. Clinical features of this condition can be nonspecific, including crampy abdominal pain, nausea, vomiting, and abdominal distension.…”

Section: Discussionmentioning

confidence: 68%

Neglected Gallstone Disease Presented As Gallstone Ileus: A Rare Cause of Intestinal Obstruction

Kumar

Anjum

Mani

et al. 2021

Cureus

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Gallstone ileus is a rare complication of cholelithiasis seen in patients with a long history of cholelithiasis. It occurs more in the older age group and in the female gender. These patients have poor general condition and therefore selection of appropriate treatment is difficult. The clinician has to make a decision between immediate one-stage or two-stage closure of the cholecysto-intestinal fistula or waiting for natural closure. We have discussed the management of a rare cause of small bowel obstruction due to complication of untreated cholelithiasis.

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Section: Discussionmentioning

confidence: 68%