Ozbalci G S, Tanrikulu Y, Kismet K, Dinc S, Akkus M A
4th General Surgery Department, Ankara Training and Research Hospital, Ankara, Turkey.
Bratisl Lek Listy. 2012;113(8):503-5. doi: 10.4149/bll_2012_112.
Gallstone ileus is an uncommon cause of small bowel obstruction. Gallstone ileus accounts for only about 1-3 % of cases of mechanical obstructions of the small bowel. It usually occurs in the elderly with a female predominance and may result in high mortality rates. The diagnosis is difficult and early diagnosis reduces the mortality. Terminal ileum is the most common site of gallstone impaction. We report a case of gallstone ileus in an 81-year-old female patient who was admitted to our clinic for abdominal pain, vomiting and constipation. The ultrasonography of abdomen revealed a decrease in bowel motion, and dilated bowel segments. Intraoperatively, a giant gallstone and associated multiple stones were found in the ileum 80 cm from the ileocecal valve and extracted from a longitudinal enterotomy (Fig. 4, Ref. 24).
胆结石性肠梗阻是小肠梗阻的一种罕见病因。胆结石性肠梗阻仅占小肠机械性梗阻病例的约1 - 3%。它通常发生于老年人，女性居多，且可能导致高死亡率。诊断困难，早期诊断可降低死亡率。回肠末端是胆结石嵌顿最常见的部位。我们报告一例81岁女性胆结石性肠梗阻病例，该患者因腹痛、呕吐和便秘入住我院。腹部超声显示肠管蠕动减弱及肠段扩张。术中，在距回盲瓣80 cm的回肠内发现一枚巨大胆结石及相关多发结石，并通过纵行肠切开术取出（图4，参考文献24）。
