Like a “Rolling” Gallstone: Cholecystoduodenal Fistula as Evidence of Gallstone Ileus

Ramrakhiani, Hannah; Simpson, Norah; Strichartz, Seth D.; Shetler, Katerina; Triadafilopoulos, George

doi:10.1007/s10620-020-06088-7

Cited by 5 publications

(21 citation statements)

References 14 publications

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“…Symptom duration preceding hospital admission is 5 days and includes common signs of digestive tract obstruction; nausea, vomit, abdominal distension, constipation, and crampy abdominal pain. 6 The physical examination may also be non-specific, appreciating jaundice, abdominal distension and tenderness, with high pitched intestine sounds. 1,5 The intermittent nature of symptoms may be presenting in part due to the tumbling phenomenon, secondary to temporary gallstone impaction followed by symptom relief when the stones dislodges, travels distally and impacts again.…”

Section: Discussionmentioning

confidence: 99%

“…Gallstone ileus is defined as the mechanical obstruction of the digestive tract, most commonly the distal part of small intestine, at the ileo-cecal valve (Bahuin´s valve) (60-75%). [1][2][3][4][5][6] Rarely occurs in proximal ileum or jejunum (16.1-40%), stomach (14.2%), duodenum (3.5%). 3,5 Secondary to a gallstone (most frequently a big one >2,5 cm), due to their narrow lumen and less peristalsis activity of this anatomic section of the small bowel.…”

Section: Introductionmentioning

confidence: 99%

“…3,5 Secondary to a gallstone (most frequently a big one >2,5 cm), due to their narrow lumen and less peristalsis activity of this anatomic section of the small bowel. 1,5,6 It's a rare complication of cholelithiasis, and a rarer cause of ileus. 1,2 It was first described by Thomas Bartholin in 1654 with 85 cases.…”

Section: Introductionmentioning

confidence: 99%

“…1,2 It was first described by Thomas Bartholin in 1654 with 85 cases. 6 85% of cases, gallstones are eliminated through feces or vomitus, the other 15% become entrapped in the gastrointestinal tract. 4 Colonic obstruction occurs where there is a preexisting pathology, like post-diverticulitis stricture, since the normal colonic diameter usually permits passage of gallstones.…”

Section: Introductionmentioning

confidence: 99%

“…4 Colonic obstruction occurs where there is a preexisting pathology, like post-diverticulitis stricture, since the normal colonic diameter usually permits passage of gallstones. 6 Authors describe a case of a 70 year old female with an uncertain case of abdominal pain and bowel perforation as result of gallstone ileum.…”

Section: Introductionmentioning

confidence: 99%

See 4 more Smart Citations

Gallstone ileus, the forgotten one: a rare cause of intestinal perforation and a case report

et al. 2020

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Gallstone ileum represents an unusual cause of intestinal obstruction as a result of the presence of stones that cause mechanical obstruction. It has an incidence of less than 4%. Reaching mortality up to 25% of cases. It is a difficult suspicion, with characteristic signs that guide its presence such as pneumobilia, occlusion, and the presence of stone in radiological studies. Management should include surgical extraction as well as revision of the entire intestine with a suitable subsequent repair. Authors present the case of a 70-year-old patient with the presence of surgically resolved biliary ileum.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Gallstone ileus, the forgotten one: a rare cause of intestinal perforation and a case report

et al. 2020

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Robotic management of primary cholecystoduodenal fistula: A case report and brief literature review

Alfonso,

McFarland,

Savsani

et al. 2024

Robotics Computer Surgery

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BackgroundCholecystoduodenal fistula (CDF) arises from persistent biliary tree disorders, causing fusion between the gallbladder and duodenum. Initially, open resection was common until laparoscopic fistula closure gained popularity. However, complexities within the gallbladder fossa yielded inconsistent outcomes. Advanced imaging and robotic surgery now enhance precision and detection.MethodA 62‐year‐old woman with chronic cholangitis attributed to cholecystoduodenal fistula underwent successful robotic cholecystectomy and fistula closure.ResultsPostoperatively, the symptoms subsided with no complications during the robotic procedure. Existing studies report favourable outcomes for robotic cholecystectomy and fistula closure.ConclusionsOur case report showcases a rare instance of successful robotic cholecystectomy with CDF closure. This case, along with a review of previous cases, suggests the potential of robotic surgery as the preferred approach, especially for patients anticipated to face significant laparoscopic morbidity.

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Gallstone ileus after recent cholecystectomy. Case report and review of the literature

Segundo

Sanchez

Bernal

et al. 2021

International Journal of Surgery Case Reports

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Highlights Gallstone ileus is very infrequent and require high suspicion for preoperative diagnosis. It must be suspected in an elderly female with bowel obstruction and a history of recurrent episodes of acute cholecystitis. If during a cholecystectomy, cholecystoenteric fistula is found, it must be considered that Gallstone ileus could occur later. Mainly, gallstones larger than 2.5 cm that passes through a cholecystoenteric fistula are which could cause gallstone ileus.

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Like a “Rolling” Gallstone: Cholecystoduodenal Fistula as Evidence of Gallstone Ileus

Cited by 5 publications

References 14 publications

Gallstone ileus, the forgotten one: a rare cause of intestinal perforation and a case report

Gallstone ileus, the forgotten one: a rare cause of intestinal perforation and a case report

Robotic management of primary cholecystoduodenal fistula: A case report and brief literature review

Gallstone ileus after recent cholecystectomy. Case report and review of the literature

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