Gallstone ileus with impaction at the neck of a Meckel's diverticulum.

Nakamoto, Yoshihiko; Saga, Tadafumi; Fujishiro, S.; Washida, Masanobu; Churiki, M; Matsuda, Katsuhiko

doi:10.1259/bjr.71.852.10319010

Cited by 23 publications

(16 citation statements)

References 8 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…In rare cases enteroliths, can form within a MD and cause an obstruction from impaction within the small bowel. Stasis in the diverticulum in combination with the alkalotic environment of the small bowel can promote precipitation of calcium and is thought to contribute to formation of an MD enterolith[7]. In our case the patient had an impaction of a gallstone in the MD.…”

Section: Discussionmentioning

confidence: 77%

See 1 more Smart Citation

Gallstone ileus associated with impaction at Meckel’s diverticulum: Case report and literature review

Lamba¹,

Shi²,

Prabhu³

2016

WJGS

View full text Add to dashboard Cite

Gallstone ileus due to erosion of one or more gallstones into the gastrointestinal tract is an uncommon cause of small bowel obstruction. The site of impaction is usually distal ileum, and less commonly the jejunum, colon, duodenum, or stomach. We report a rare case of gallstone ileus with impaction at the proximal small bowel and at a Meckel’s diverticulum (MD) in a 64-year-old woman managed with laparoscopic converted to open small bowel resections. Patient was discharged home in stable condition and remained asymptomatic at 6-mo follow up. We review the current literature on surgical approaches to MD and gallstone ileus. Diverticulectomy or segmental resection is preferred for complicated MD. For gallstone ileus, simple enterolithotomy or segmental resection are the most the most favored especially in older co-morbid patients due to lower mortality rates and the rarity of recurrent gallstone ileus. In addition, laparoscopy has been increasingly reported as a safe approach to manage gallstone ileus.

show abstract

Section: Discussionmentioning

confidence: 77%

“…Gallstone ileus is an uncommon cause of obstructions in the general population but is responsible for 25% of mechanical bowel obstructions in the elderly[4-6]. We found only 3 other case reports with mention of gallstone impaction at MD[7-9]. …”

Section: Introductionmentioning

confidence: 92%

Gallstone ileus associated with impaction at Meckel’s diverticulum: Case report and literature review

Lamba¹,

Shi²,

Prabhu³

2016

WJGS

View full text Add to dashboard Cite

show abstract

“…Obstruction can be caused by trapping of a bowel loop by a mesodiverticular band, a volvulus of the diverticulum around a mesodiverticular band, and intussusception, as well as by an extension into a hernia sac (Littre's hernia). 1,2 Unusual cases include mechanical obstruction related to peritoneal or mesodiverticular band, 12 long Meckel's diverticulum encircling small bowel loops, 13,14 gall stones at neck of diverticulum, 15,16 axial torsion of diverticulum around its narrow base. 17 Similarly, as in our case, obstruction can be caused by trapping of a bowel loop by a mesodiverticular band.…”

Section: Discussionmentioning

confidence: 99%

An Unusual Case of Intestinal Obstruction Caused by Mesodiverticular Ban D and Meckels Diverticulum

Patil¹,

Belagali²,

Kadeli³

2014

jemds

View full text Add to dashboard Cite

Meckels diverticulum is a persistent remnant of the omphalomesenteric duct. It presents the most common congenital anomaly of the small intestine (1-4%). Common complications related to a Meckel's diverticulum include hemorrhage, intestinal obstruction, and inflammation. Small bowel obstruction due to mesodiverticular band of Meckel's diverticulum is a rare complication. Herein, we report the diagnosis and management of a small bowel obstruction occurring due to mesodiverticular band of a Meckel's diverticulum.

show abstract

“…Owing to its narrow intraluminal diameter, the terminal ileum is the most frequent site of impaction, but the jejunum, colon and even a Meckel's diverticulum can be involved 10 11. Previous literature has asserted that a gallstone must be larger than 2.5 cm to precipitate obstruction, due to the diameter of the small bowel and the ileocaecal valve 6 12.…”

Section: Discussionmentioning

confidence: 99%

The Norovirus epidemic…or just a stone? Revising the diagnosis with an abdominal radiograph

2013

View full text Add to dashboard Cite

During an acute outbreak of Norovirus in the local area, a 77-year-old woman was admitted with a short history of diarrhoea and vomiting. A working diagnosis of viral gastroenteritis complicated by acute renal failure, secondary to dehydration, was made. Despite judicious fluid resuscitation and regular antiemetics, the patient's symptoms persisted with only mild improvement in her renal function. An abdominal radiograph revealed evidence of significant small bowel obstruction and subsequent CT of the abdomen and pelvis identified a 1.5 cm intraluminal density at a transition point raising the suspicion of gallstone ileus. An urgent laparotomy with stone removal was carried out without complications. The patient recovered well postoperatively and was discharged home after 3 days.

show abstract

Gallstone ileus with impaction at the neck of a Meckel's diverticulum.

Cited by 23 publications

References 8 publications

Gallstone ileus associated with impaction at Meckel’s diverticulum: Case report and literature review

Gallstone ileus associated with impaction at Meckel’s diverticulum: Case report and literature review

An Unusual Case of Intestinal Obstruction Caused by Mesodiverticular Ban D and Meckels Diverticulum

The Norovirus epidemic…or just a stone? Revising the diagnosis with an abdominal radiograph

Contact Info

Product

Resources

About