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.

References

Francisco Javier Mancilla Ulloa, David Rayas Ruiz. Íleo biliar: reporte de un caso y revisión de la literatura. Cir Gen. 2014;3(2):121-5.

Ploneda-Valencia CF, Gallo-Morales M, Rinchon C, Navarro-Muñiz E, Bautista-López CA, De la Cerda-Trujillo LF et al. El íleo biliar: una revisión de la literatura médica. Rev Gastroenterol Méx. 2017;82(3):248-54.

Reyes-Morales JM, Hernández-García LK. Íleo biliar: un reto diagnóstico y terapéutico. Presentación de un caso clínico. Rev Med Inst Mex Seguro Soc. 2023;61(1):106-10.

Jeffrey OMG, Verónica NBFMS. Íleo biliar como causa de dolor abdominal en el paciente anciano. Rev Esp Geriatr Gerontol. 2020;55(3):169-72.

Eder ASP, Sinuhé ÁÁ, Marco AMT, Gabrilea EGU, Jorge ERV, Luis MHL. Íleo biliar, experiencia en el Hospital General de México. Dr. Eduardo Liceaga. Cir Cir. 2017;85(2):114-20.

Morosin T, De Robles M B, Putnis S. Gallstone Ileus: An Unusual Cause of Intestinal Obstruction. Cureus 2020;12(3):e7284.

Jorge AMO, Manuel MCN, Germán FBM, Xavier ES-Q, Alba EGG. Obstrucción intestinal secundaria a íleo biliar: reporte de caso. Cir Cir. 2021;89(S2):31-3.

Cristina VM, Ana SG, Belen M, Fernando MM, Manuel DA, Francisca GMN. Surgical Treatment of Gallstone Ileus: Less Is More. Visc Med 2022;38:72-7.

Nikolaos K, Dimitrios P, Andrianos ST, Efstratios KL, Anargyros B, Konstantinos N et al. Gallstone Ileus in Octogenarians: Is Cholecystectomy Really Needed? Acta Med (Hradec Kral). 2022;65(4):153-7.

Marco DSF, Fernández PG, Ferré FB, Piqueras RMO. Diagnóstico por la imagen en el íleo biliar. Med Integr. 2000;36:267-71.

Matías O, Liumariel V, Alfredo C, Marcelo V, Pedro S. Laparoscopic management of gallstone ileus: A case report and literature review. Int J Surg Case Rep. 2021;85(1):106171.

Marcos ISJ, Javier AD, Mónica RFC, Fernando RY, Arianne ILA, Antonio HG. Íleo biliar, revisión del manejo quirúrgico. Cir Cir. 2018;86:182-6.

Jesica MP, Luciano DP, Alberto BG, Nieves LR, Guillermo BP, Vicente MA. Enterolitotomía más colecistectomía precoz, una aplicación de cirugía de control de daños para pacientes con íleo biliar. Cir Cir. 2015;83(2):156-60.

Santos SD, Louro J, Costa Almeida CM, Simões S, Fortuna J. Gallstone Ileus: A Rare Cause of Mechanical Bowel Obstruction. Cureus. 2023;15(2):e35588.

Abner ARL, Brenda K. Mata-Samperio, Fernando Solís-Almanza, Ricardo Casillas-Vargas, Luis A. Cuadra-Reyes. Comparison between surgical techniques in gallstone ileus and outcomes. Cir Cir. 2020;88(3):292-6.

Abdihamid MA, Sadettin ER. Gallstone ileus: Unusual complication of cholelithiasis: A case report. Ann Med Surg. 2022;75:103476.

Reisner RM, Cohen JR. Gallstone ileus: a review of 1001 reported cases. Am Surg. 1994;60:441-6.

Tan YM, Wong WK, Ooi LLPJ. A Comparison of Two Surgical Strategies for the Emergency Treatment of Gallstone Ileus. Singapore Med J. 2004;45(2):69-72.

Clavien PA, Richon J, Burgan S, Rohner A. Gallstone ileus. Br J Surg. 1990;77:734-42.

Zuegal N, Hehl A, Lindemann F, Witte J. Advantages of one-stage repair in case of gallstone ileus. Hepato-Gastroenterol. 1997;44:59-62.

Mirza GMK, Ahmed E, Mohammed SF, AbdulMohsen AM, Abdulrahim AA. Laparoscopic management for gallstone ileus, case report. Int J Surg Case Rep. 2019;51:268-71.

Montgomery A. Laparoscope-guided entero-lithotomy for gallstone ileus. Surg Laparosc Endosc. 1993;3(4):310-14.

Franklin ME, Dorman JP, Schuessler WW. Laparoscopic treatment of gallstone ileus: a case report and review of the literature. J Laparoendosc Surg. 1994;4(4):265-72.

Anupama T, Thingujam U, Satish KB, Shuchi B, Sumeet B, Meenakshi P et al. Resolution of Gallstone Ileus with Spontaneous Evacuation of Gallstone: A Case Report. Indian J Surg. 2013;75(3):228-31.

Andrea GM, Ignacio CW, Pedro AA. Successful gallstone ileus treatment by endoscopy. Rev Esp Enferm Dig. 2022:114(12):754-5.

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Published

2023-11-28

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Section

Case Reports