Gallstone ileus with jejunum perforation managed with laparoscopic-assisted surgery: rare case report and minimal invasive management
Gallstone ileus is an uncommon complication of cholelithiasis. Most patients affected by gallstone ileus are elderly and have multiple comorbidities. Symptoms are vague and insidious, which may delay the correct diagnosis for days. Here we are reporting an uncommon complication of gallstone ileus. W...
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| Veröffentlicht in: | International surgery 2015-05, Vol.100 (5), p.878-881 |
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| creator | Lee, Cheng-Hung Yin, Wen-Yao Chen, Jian-Han |
| description | Gallstone ileus is an uncommon complication of cholelithiasis. Most patients affected by gallstone ileus are elderly and have multiple comorbidities. Symptoms are vague and insidious, which may delay the correct diagnosis for days. Here we are reporting an uncommon complication of gallstone ileus. We report on a 70-year-old man with small bowel obstruction at the jejunum due to an impacted stone, which led to necrosis and perforation of the proximal bowel wall. Laparoscope-assisted small bowel resection with enterolithotomy was used to successfully treat the patient's perforation and obstruction. His recovery was uneventful. Gallstone ileus commonly presents with bowel obstruction, but intestinal perforation occurs very rarely. A laparoscopic approach can provide both diagnostic and therapeutic roles in management. |
| doi_str_mv | 10.9738/INTSURG-D-14-00265.1 |
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Most patients affected by gallstone ileus are elderly and have multiple comorbidities. Symptoms are vague and insidious, which may delay the correct diagnosis for days. Here we are reporting an uncommon complication of gallstone ileus. We report on a 70-year-old man with small bowel obstruction at the jejunum due to an impacted stone, which led to necrosis and perforation of the proximal bowel wall. Laparoscope-assisted small bowel resection with enterolithotomy was used to successfully treat the patient's perforation and obstruction. His recovery was uneventful. Gallstone ileus commonly presents with bowel obstruction, but intestinal perforation occurs very rarely. A laparoscopic approach can provide both diagnostic and therapeutic roles in management.</description><identifier>ISSN: 0020-8868</identifier><identifier>EISSN: 2520-2456</identifier><identifier>DOI: 10.9738/INTSURG-D-14-00265.1</identifier><identifier>PMID: 26011209</identifier><language>eng</language><publisher>Italy: The International College of Surgeons, World Federation of General Surgeons and Surgical Specialists, Inc</publisher><subject>Aged ; Digestive System Surgical Procedures - methods ; Gallstones - complications ; Gallstones - surgery ; General Surgery & Hernia Surgery ; Humans ; Ileus - etiology ; Ileus - surgery ; Intestinal Perforation - etiology ; Intestinal Perforation - surgery ; Jejunum - surgery ; Laparoscopy - methods ; Male</subject><ispartof>International surgery, 2015-05, Vol.100 (5), p.878-881</ispartof><rights>Copyright 2015 by the International College of Surgeons 2015</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c408t-f020d833b94df976871ee49d0240bfafd43431ad77adb4e5ed5c520eb90f88093</citedby><cites>FETCH-LOGICAL-c408t-f020d833b94df976871ee49d0240bfafd43431ad77adb4e5ed5c520eb90f88093</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC4452977/pdf/$$EPDF$$P50$$Gpubmedcentral$$H</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC4452977/$$EHTML$$P50$$Gpubmedcentral$$H</linktohtml><link.rule.ids>230,314,725,778,782,883,27913,27914,53780,53782</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/26011209$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Lee, Cheng-Hung</creatorcontrib><creatorcontrib>Yin, Wen-Yao</creatorcontrib><creatorcontrib>Chen, Jian-Han</creatorcontrib><title>Gallstone ileus with jejunum perforation managed with laparoscopic-assisted surgery: rare case report and minimal invasive management</title><title>International surgery</title><addtitle>Int Surg</addtitle><description>Gallstone ileus is an uncommon complication of cholelithiasis. Most patients affected by gallstone ileus are elderly and have multiple comorbidities. Symptoms are vague and insidious, which may delay the correct diagnosis for days. Here we are reporting an uncommon complication of gallstone ileus. We report on a 70-year-old man with small bowel obstruction at the jejunum due to an impacted stone, which led to necrosis and perforation of the proximal bowel wall. Laparoscope-assisted small bowel resection with enterolithotomy was used to successfully treat the patient's perforation and obstruction. His recovery was uneventful. Gallstone ileus commonly presents with bowel obstruction, but intestinal perforation occurs very rarely. A laparoscopic approach can provide both diagnostic and therapeutic roles in management.</description><subject>Aged</subject><subject>Digestive System Surgical Procedures - methods</subject><subject>Gallstones - complications</subject><subject>Gallstones - surgery</subject><subject>General Surgery & Hernia Surgery</subject><subject>Humans</subject><subject>Ileus - etiology</subject><subject>Ileus - surgery</subject><subject>Intestinal Perforation - etiology</subject><subject>Intestinal Perforation - surgery</subject><subject>Jejunum - surgery</subject><subject>Laparoscopy - methods</subject><subject>Male</subject><issn>0020-8868</issn><issn>2520-2456</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2015</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpVUdFq3DAQFKWluab9gxD0A0okS7alPARK0l4DoYU2eRZra33RYctGsq_kA_rfUXqX0D4t7O7M7OwQciL4mamlPr_5fvfr_ueaXTOhGOdFVZ6JN2RVlAVnhSqrt2SVu5xpXekj8iGlLefSyNK8J0dFxYUouFmRP2vo-zSPAanvcUn0t58f6Ba3S1gGOmHsxgizHwMdIMAG3X6hhwnimNpx8i2DlHya8ygtcYPx8YJGiEhbSEgjTmOcKQRHBx_8AD31YQfJ7_DAOGCYP5J3HfQJPx3qMbn_-uXu6hu7_bG-ufp8y1rF9cy67MdpKRujXGfqStcCURnHC8WbDjqnpJICXF2DaxSW6Mo2vwMbwzutuZHH5HLPOy3NgK7N0hF6O8V8WHy0I3j7_yT4B7sZd1apsjB1nQnUnqDN7lPE7hUruH2OxR5isddWKPs3Fisy7PRf3VfQSw7yCfGCj7c</recordid><startdate>201505</startdate><enddate>201505</enddate><creator>Lee, Cheng-Hung</creator><creator>Yin, Wen-Yao</creator><creator>Chen, Jian-Han</creator><general>The International College of Surgeons, World Federation of General Surgeons and Surgical Specialists, Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>5PM</scope></search><sort><creationdate>201505</creationdate><title>Gallstone ileus with jejunum perforation managed with laparoscopic-assisted surgery: rare case report and minimal invasive management</title><author>Lee, Cheng-Hung ; Yin, Wen-Yao ; Chen, Jian-Han</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c408t-f020d833b94df976871ee49d0240bfafd43431ad77adb4e5ed5c520eb90f88093</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2015</creationdate><topic>Aged</topic><topic>Digestive System Surgical Procedures - methods</topic><topic>Gallstones - complications</topic><topic>Gallstones - surgery</topic><topic>General Surgery & Hernia Surgery</topic><topic>Humans</topic><topic>Ileus - etiology</topic><topic>Ileus - surgery</topic><topic>Intestinal Perforation - etiology</topic><topic>Intestinal Perforation - surgery</topic><topic>Jejunum - surgery</topic><topic>Laparoscopy - methods</topic><topic>Male</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Lee, Cheng-Hung</creatorcontrib><creatorcontrib>Yin, Wen-Yao</creatorcontrib><creatorcontrib>Chen, Jian-Han</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>International surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Lee, Cheng-Hung</au><au>Yin, Wen-Yao</au><au>Chen, Jian-Han</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Gallstone ileus with jejunum perforation managed with laparoscopic-assisted surgery: rare case report and minimal invasive management</atitle><jtitle>International surgery</jtitle><addtitle>Int Surg</addtitle><date>2015-05</date><risdate>2015</risdate><volume>100</volume><issue>5</issue><spage>878</spage><epage>881</epage><pages>878-881</pages><issn>0020-8868</issn><eissn>2520-2456</eissn><abstract>Gallstone ileus is an uncommon complication of cholelithiasis. Most patients affected by gallstone ileus are elderly and have multiple comorbidities. Symptoms are vague and insidious, which may delay the correct diagnosis for days. Here we are reporting an uncommon complication of gallstone ileus. We report on a 70-year-old man with small bowel obstruction at the jejunum due to an impacted stone, which led to necrosis and perforation of the proximal bowel wall. Laparoscope-assisted small bowel resection with enterolithotomy was used to successfully treat the patient's perforation and obstruction. His recovery was uneventful. Gallstone ileus commonly presents with bowel obstruction, but intestinal perforation occurs very rarely. A laparoscopic approach can provide both diagnostic and therapeutic roles in management.</abstract><cop>Italy</cop><pub>The International College of Surgeons, World Federation of General Surgeons and Surgical Specialists, Inc</pub><pmid>26011209</pmid><doi>10.9738/INTSURG-D-14-00265.1</doi><tpages>4</tpages><oa>free_for_read</oa></addata></record> |
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| source | MEDLINE; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; PubMed Central |
| subjects | Aged Digestive System Surgical Procedures - methods Gallstones - complications Gallstones - surgery General Surgery & Hernia Surgery Humans Ileus - etiology Ileus - surgery Intestinal Perforation - etiology Intestinal Perforation - surgery Jejunum - surgery Laparoscopy - methods Male |
| title | Gallstone ileus with jejunum perforation managed with laparoscopic-assisted surgery: rare case report and minimal invasive management |
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