Morosin Tia, De Robles Marie Shella B, Putnis Soni
Surgery, The Wollongong Hospital, Wollongong, AUS.
Surgery, Philippine General Hospital, Manila, PHL.
Cureus. 2020 Mar 15;12(3):e7284. doi: 10.7759/cureus.7284.
Gallstone ileus is an uncommon complication of gallstones and a rare cause of intestinal obstruction. Typically as a result of the formation of cholecystoduodenal fistula, surgical removal of the gallstone is the mainstay of treatment in order to relieve the intestinal obstruction. A 34-year-old male with no history of cholelithiasis presented with features of a small bowel obstruction. CT scan of the abdomen demonstrated pneumobilia, a cholecystoduodenal fistula and small bowel obstruction, features suspicious for a gallstone ileus. The patient underwent a laparotomy and removal of two gallstones via an enterotomy. He was discharged home after an uneventful post-operative period. Gallstone ileus is an uncommon cause of mechanical bowel obstruction with often delayed presentation and non-specific symptoms. A high level of suspicion is required in at-risk groups, and in patients presenting with a bowel obstruction and known gallstone disease.
胆石性肠梗阻是胆结石的一种罕见并发症，也是肠梗阻的罕见病因。通常由于胆囊十二指肠瘘的形成，手术取出胆结石是缓解肠梗阻的主要治疗方法。一名34岁无胆石症病史的男性出现小肠梗阻症状。腹部CT扫描显示有气腹、胆囊十二指肠瘘和小肠梗阻，这些特征提示可能为胆石性肠梗阻。患者接受了剖腹手术，并通过肠切开术取出了两颗胆结石。术后恢复顺利，患者出院。胆石性肠梗阻是机械性肠梗阻的罕见病因，通常表现延迟且症状不具特异性。对于高危人群以及出现肠梗阻且已知患有胆石症的患者，需要高度怀疑。
