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

Marco De Monti, Giovanni Cestaro, Suleiman Alkayyali, Jacopo Galafassi, Fabrizio Fasolini, Marco De Monti, Giovanni Cestaro, Suleiman Alkayyali, Jacopo Galafassi, Fabrizio Fasolini

Abstract

Introduction: 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).

Case report: 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.

Conclusion: 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.

Keywords: Bowel obstruction; Case report; Emergency surgery; Gallstone ileus.

Copyright © 2018 The Author(s). Published by Elsevier Ltd.. All rights reserved.

Figures

Fig. 1
Fig. 1
X-ray shows abdominal levels.
Fig. 2
Fig. 2
CT scan shows gallstone in the ileus.
Fig. 3
Fig. 3
Intraoperative finding.

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Source: PubMed

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