Sigmoid gallstone ileus: A case report and literature review in Japan

Inukai, Koichi; Uehara, Shuhei; Miyai, Hirotaka; Takashima, Nobuhiro; Yamamoto, Masakazu; Kobayashi, Kenji; Tanaka, Moritsugu; Hayakawa, Tetsushi

doi:10.1016/j.ijscr.2018.06.015

Cited by 11 publications

(20 citation statements)

References 4 publications

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“…This was recognised radiologically and is referred eponymously as Rigler's triad [11]. Approximately 75% of these fistulae are cholecystoduodenal, whereas only 10% to 20% are cholecystocolonic [12]. Approximately 40% to 50% of patients eventually diagnosed with gallstone ileus have a history of recent bouts of biliary colic, jaundice or acute cholecystitis [9].…”

Section: Discussionmentioning

confidence: 99%

Gallstone Ileus: Uncommon Presentation Followed by Less Common Spontaneous Resolution

Hobbs

Barghash

Peters

et al. 2020

Cureus

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Section: Discussionmentioning

confidence: 99%

Gallstone Ileus: Uncommon Presentation Followed by Less Common Spontaneous Resolution

Hobbs

Barghash

Peters

et al. 2020

Cureus

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“…Other factors that contribute to gallstone ileus are a long history of cholelithiasis, repeated episodes of acute cholecystitis and stones greater than 2 cm. According to the literature, approximately 40–50% of patients eventually diagnosed with gallstone ileus have a history of recent bouts of biliary colic, jaundice or acute cholecystitis [1, 2].…”

Section: Discussionmentioning

confidence: 99%

A case of successful conservative management of gallstone ileus

Monib

Elkorety

Thomson

2019

Journal of Surgical Case Reports

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Gallstone ileus is an uncommon complication of cholelithiasis but an established cause of mechanical bowel obstruction in the elderly. Perforation of the small intestine proximal to the obstructing gallstone is rare, only a handful of cases having been reported. Management is mainly surgical, but conservative treatment is occasionally appropriate. We report the case of an 86-year-old female who presented with a clinical picture of bowel obstruction, proven to be related to gallstone ileus which resolved spontaneously. We discuss the role of conservative management for this condition.

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“…In such cases, cholecystocolonic fistula is the most common predicted route. A previous report provided evidence-based recommendation for one-stage surgery in cases of gallstone ileus accompanied by cholecystocolonic fistula 4. This is supported by the lower natural closure rate of 10% for cholecystocolonic fistula versus the other types of cholecystointestinal fistula and the high risk of retrograde cholecystitis due to reverse flow of faecal fluid from the cholecystocolonic fistula 34…”

Section: Treatmentmentioning

confidence: 94%

“…For cases with impaction of the colon, selection of non-surgical treatment may be indicated, but 74% of cases with non-surgical treatment show failure 14. One review4 indicated that if surgery is selected, one-stage surgery is performed in majority of the cases. The sigmoid colon is the most common impaction site, mainly due to presence of intestinal stenosis caused by diverticulitis.…”

Section: Treatmentmentioning

confidence: 99%

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Gallstone ileus: a review

Inukai

2019

BMJ Open Gastroenterol

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Background Gallstone ileus is an important complication of cholecystolithiasis. In general, surgery is the treatment of choice for such cases, but clinicians face difficulty in the selection of an appropriate approach. Closure of a cholecystoenteric fistula can be achieved through one-stage or two-stage operation. Two-stage operation has a lower mortality rate than a one-stage procedure, but persistence of the cholecystoenteric fistula is associated with the risk of carcinogenesis and recurrence of gallstone ileus.Objective This study reviews the different surgical approaches according to the impaction site of the gallstone, using data of previous studies by our group and clinical reports in the literature.Conclusions First, for cases involving impaction at the duodenum, the cholecystoenteric fistula can be repaired in the same surgical field, and one-stage operation obtains favourable outcome; hence, one-stage operation is considered as treatment of choice. Second, for cases involving impaction at the small intestine, natural closure of the cholecystoenteric fistula or low mortality is expected; hence, two-stage operation may be performed, possibly using minimally invasive laparoscopy. Third, for cases involving impaction at the colon, natural closure of the cholecystocolonic fistula is unlikely, and patients have a high risk of reflux cholangitis due to faecal fluid; hence, one-stage operation is considered as treatment of choice.

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Sigmoid gallstone ileus: A case report and literature review in Japan

Abstract: HighlightsWe present a unique case of gallstone ileus with inguinal hernia.A one-stage operation can be considered for patients with gallstone ileus associated with cholecystocolonic fistula.A review of the literature pertaining to colonic gallstone ileus is presented.

Cited by 11 publications

References 4 publications

Gallstone Ileus: Uncommon Presentation Followed by Less Common Spontaneous Resolution

Gallstone Ileus: Uncommon Presentation Followed by Less Common Spontaneous Resolution

A case of successful conservative management of gallstone ileus

Gallstone ileus: a review

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