Gallstone ileus: A possible cause of bowel obstruction in the elderly population

Gallstone ileus: A possible cause of bowel obstruction in the elderly population

Gallstone ileus (GI) is characterized by a mechanical occlusion of the ileal lumen as a result of migration of one or more gallstones in the intestinal tract. Less than 1-4% of all cases of intestinal obstruction are derived from this etiology (1,2,3). We present a case of small intestinal obstructi...

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Veröffentlicht in:International journal of surgery case reports 2018-01, Vol.43, p.18-20
Hauptverfasser: De Monti, Marco, Cestaro, Giovanni, Alkayyali, Suleiman, Galafassi, Jacopo, Fasolini, Fabrizio
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Cestaro, Giovanni
Alkayyali, Suleiman
Galafassi, Jacopo
Fasolini, Fabrizio
description Gallstone ileus (GI) is characterized by a mechanical occlusion of the ileal lumen as a result of migration of one or more gallstones in the intestinal tract. Less than 1-4% of all cases of intestinal obstruction are derived from this etiology (1,2,3). We present a case of small intestinal obstruction owing to a large gallstone in lower ileum in a 66 years old woman. The diagnosis was made by computed tomography, and treated successfully with an enterotomy, with a removal of a 5 cm gallstone, carried out through a longitudinal incision on the antimesenteric border. Post-operative course presented no adverse effects. Gallstone ileus should be considered in case of bowel obstruction in the elderly population. Abdominal CT scan is the preferred investigation for a timely diagnosis.
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title Gallstone ileus: A possible cause of bowel obstruction in the elderly population
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