Umer Said, Butt Usman Ismat, Toor Asad Ali, Razzaq Zeeshan, Farooka Muhammad Waris, Noreen Shazia, Butt Abeeda, Redmond Henry Paul
Department of Surgery, National Hospital & Medical Centre, Lahore, Pakistan.
Department of Surgery, Cork University Hospital, Wilton, County Cork-Republic of Ireland.
J Ayub Med Coll Abbottabad. 2018 Oct-Dec;30(4):614-416.
Gall stone ileus associated with cholecysto-duodenal fistula is a rare pathology. It most commonly presents in elderly females in 72-90% of cases. In such a case, a patient typically presents with recurrent attacks of sub-acute intestinal obstruction which usually resolves completely with conservative management only to recur again after some time. We are reporting a case of an 85-yearold gentleman who presented to us with gallstone ileus associated with cholecysto-duodenal fistula and his subsequent management. He underwent Laparotomy with enterotomy, stone extraction, Cholecystectomy and Graham's patch repair of the fistula. The purpose of this case report is to discuss a rare case of gall stone ileus associated with cholecysto-duodenal fistula. The diagnosis was confirmed using imaging and appropriate and timely surgical intervention for both mechanical intestinal obstruction and the fistula was undertaken.
胆囊十二指肠瘘合并胆石性肠梗阻是一种罕见的病理情况。在72% - 90%的病例中，它最常见于老年女性。在这种情况下，患者通常表现为亚急性肠梗阻的反复发作，通常仅通过保守治疗即可完全缓解，但一段时间后又会复发。我们报告一例85岁男性患者，他因胆囊十二指肠瘘合并胆石性肠梗阻前来就诊及后续治疗情况。他接受了剖腹探查术，包括肠切开取石、胆囊切除术以及用格雷厄姆补片修补瘘管。本病例报告的目的是讨论一例罕见的胆囊十二指肠瘘合并胆石性肠梗阻病例。通过影像学检查确诊，并对机械性肠梗阻和瘘管进行了适当及时的手术干预。
