Gallstone ileus, controversies on current surgical management

Authors

  • José Francisco Madrid Ruíz Department of general surgery, General Hospital of Zone 1 ¨Nueva Frontera¨, Mexican Institute of Social Security, Chiapas Mexico, Faculty of Human Medicine of the Autonomous University of Yucatán (UADY), Mexico https://orcid.org/0000-0003-0161-156X
  • Karen Elena Hidalgo Artiaga Institute of Higher Education of Chiapas "Universidad Salazar". Chiapas, Mexico https://orcid.org/0009-0002-1426-5985
  • Asdrúbal Samuel Baéz León Department of general surgery, General Hospital of Zone 1 ¨Nueva Frontera¨, Mexican Institute of Social Security, Chiapas Mexico, Faculty of Human Medicine of the Autonomous University of Yucatán (UADY), Mexico
  • José Manuel De Gante Aguilar Department of general surgery, General Hospital of Zone 1 ¨Nueva Frontera¨, Mexican Institute of Social Security, Chiapas Mexico, Faculty of Human Medicine of the Autonomous University of Yucatán (UADY), Mexico
  • Omar Maximiliano Ortiz De Ora Department of coloproctology, General Hospital of Zone 1 “Nueva Frontera”, Mexican Institute of Social Security. Chiapas, Mexico

DOI:

https://doi.org/10.18203/2349-2902.isj20233686

Keywords:

Gallstone ileus, Bowel obstruction, Bilioenteric fistula, Gallstone, Enterotomy

Abstract

Among the causes of bowel obstruction, the gallstone ileus represents a rare etiology in the general population, however, the incidence of cases increases in older adults. To make its diagnosis, a high clinical suspicion and extension studies are required. It is considered a surgical emergency, although the ideal approach continues to be debated today. We present the case of a 78-year-old patient with clinical and imaging findings compatible with gallstone ileus, the diagnostic and therapeutic approach, as well as a wide review of the literature about current surgical option.

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Published

2023-11-28

Issue

Vol. 10 No. 12 (2023): December 2023

Section

Case Reports