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

作者信息

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

机构信息

EOC - "Beata Vergine" Mendrisio Regional Hospital, Department of Surgery, Via Alfonso Turconi, 23, CH 6850, Mendrisio, Canton Ticino, Switzerland.

出版信息

Int J Surg Case Rep. 2018;43:18-20. doi: 10.1016/j.ijscr.2018.01.010. Epub 2018 Feb 4.

DOI:10.1016/j.ijscr.2018.01.010

PMID:29414501

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5907688/

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.

摘要