Gallstone Ileus with COVID‐19 Infection: An Unintended Sequela of Non‐Operative Management of Acute Cholecystitis During the COVID‐19 Pandemic

Shah, Adil A.; Stewart, Shai; Raza, Ahmed; Nizam, Wasay; Petrosyan, Mikael; Williams, Mallory; Cornwell, Edward E.

doi:10.1002/ccr3.4275

Cited by 2 publications

(3 citation statements)

References 11 publications

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“…The median duration of symptoms onset and diagnostic delay is six days. Delayed diagnosis can lead to complications including dehydration, shock, sepsis, or peritonitis [5].…”

Section: Discussionmentioning

confidence: 99%

The Diagnosis and Management of Recurrent Gallstone Ileus: A Case Report

Mishan¹,

Mehdikhani²

2022

Cureus

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Gallstone ileus is one of the rare and insidious causes of small bowel obstruction, which should always be kept in mind by clinicians, especially when encountering older people with a history of gallstones disease. The high mortality and morbidity rate associated with the condition can be mostly attributed to delayed or misdiagnosis. Imaging modalities, particularly CT scans, play an important role in correct and timely diagnosis. We present the case of a 65-year-old man with a two-year history of colicky biliary pain, who had severe abdominal pain with obstructive symptoms for five days before admission. The diagnosis of gallstone ileus is made using CT scan findings. Enterolithotomy alone was performed three days later. A second, smaller migrated gallstone was also found, which excreted spontaneously. After 20 days, the patient achieved full recovery and was discharged.

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“…The median duration of symptoms onset and diagnostic delay is six days. Delayed diagnosis can lead to complications including dehydration, shock, sepsis, or peritonitis [5].…”

Section: Discussionmentioning

confidence: 99%

The Diagnosis and Management of Recurrent Gallstone Ileus: A Case Report

Mishan¹,

Mehdikhani²

2022

Cureus

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“…Radiological signs associated to GSI are Rigler's triad; pneumobillia or contrast material in the biliary tree, small bowel partial or complete obstruction signs (airfluid levels, dilated small bowel loops), ectopic gallstone (usually right iliac fossa). The presence of two of the three signs is considered pathognomonic and it presents in 20%-50% of cases [2,5,12]. Petren sign described as the presence of air or oral contrast in gallbladder or biliary tree secondary to the transfection of the contrast agent from the fistula tract can also be identified.…”

Section: Case Reportmentioning

confidence: 99%

“…Imaging studies such as X-ray and CT-scan can present characteristic radiological signs. CT-Scan sensitivity, specificity and accuracy is reported as 93%, 100% and 99% respectively specially when oral contrast is applied [2,5,6,11,12].…”

Section: Introductionmentioning

confidence: 99%

Rigler Triad in Gallstone Ileus: Case Report and Literature Review

Beyuma¹,

Iturbide²,

López³

et al. 2023

Int J Surg Res Pract

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Gallstone ileus is an uncommon complication of calculous cholecystitis, which can lead to a gastro-intestinal obstruction. A non-specific clinical presentation is frequent. Imaging studies can present characteristic radiological signs. We present a 56-year-old female patient with constipation for the past 72 hours, colicky intermittent abdominal pain and vomiting. Plain CT-scan showed Rigler's triad. Gallstone ileus was diagnosed and laparotomy was performed with stone extraction by enterolitotomy. Significant morbimortality is associated to a delayed diagnosis more often in the context of elderly patients. Complementary imaging studies are needed for conclusive diagnosis, Rigler's triad, Petren and Forchet sign are pathognomonic for gallstone ileus. Surgical approach is essential in the resolution of this entity.

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Gallstone Ileus with COVID‐19 Infection: An Unintended Sequela of Non‐Operative Management of Acute Cholecystitis During the COVID‐19 Pandemic

Abstract: This is an open access article under the terms of the Creative Commons Attribution License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.

Cited by 2 publications

References 11 publications

The Diagnosis and Management of Recurrent Gallstone Ileus: A Case Report

The Diagnosis and Management of Recurrent Gallstone Ileus: A Case Report

Rigler Triad in Gallstone Ileus: Case Report and Literature Review

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