Gall stone ileus- a rare cause of intestinal obstruction: a case report and review of literature
DOI:
https://doi.org/10.18203/2349-2902.isj20171167Keywords:
Enterolithotomy, Gallstone ileus, Intestinal obstructionAbstract
Gall stone ileus is an uncommon and potentially serious complication of cholelithiasis. The formation of fistula between the gallbladder and duodenum may allow the gallstone to enter the intestinal tract. It carries a significant morbidity and mortality due to the advanced age of patients and high incidence of concomitant diseases. Here we report a case of a 75-year-old male patient who is a known diabetic, hypertensive and COPD with a recent history of surgery for obstructed umbilical hernia. He presented in the emergency department with small bowel obstruction owing to a large stone in ileum. The clinical presentation, radiological features, operative procedure and literature review are presented.
References
Reisner RM, Cohen JR. Gall stone ileus: A review of 1001 reported cases. Am surg. 1994:60:441-6.
Doko M, Zovak M, Kopljar M, Glavan E, Ljubicic N, Hochstadter H. Comparision of surgical treatments of gall stone ileus: preliminary report. World J Surg. 2003:27:400-4.
Kurtz RJ, Heimann TM, Beck AR, Kurtz AB, Patterns of treatment of gall stone ileus over a 45 years period. Am J Gastroenterol. 1985;80;95-8.
Glese A, Zieren J, Winnekendonk G, Henning BF. Development of a duodenal gallstone ileus with gastric outlet obstruction (Bouveret syndrome) four months after successful treatment of symptomatic gall stone disease with cholecystitis and cholangitis; a case reoport. J Med case Rep. 2010;4:376.
Hildebrandt J, Hermann U, Diettrich H. Gall stone ileus. A report of 104 cases. Chirurgic. 1990;61(5)392-5.
Clavien PA, Richon J, Burgan S, Rohner A. Gall stone ileus. Br J Surg. 1990;77(7):737-42.
Lassandro F, Gagliardi N, Scuderi M, Pinto A, Gatta G, Mazzeo R. Gall stone ileus analysis of radiological findings in 27 patients. Eur J Radiol. 2004:50:23-9.
Ayantunde AA, Agarwal A. Gall stone ileus. Diagnosis and management. World J Surg. 2007;31;1292-7.
