Mugino Miho, Yabe Takako Eva, Ashford Bruce
ISLHD Division of Surgery, Level 2 Block B Wollongong Hospital, Loftus Street Wollongong NSW 2500, Australia.
Division of Surgery, Wollongong Hospital, Illawarra Shoalhaven Local Health District, Wollongong NSW, Australia.
Case Rep Surg. 2020 Nov 27;2020:8866254. doi: 10.1155/2020/8866254. eCollection 2020.
We report a case of small bowel obstruction due to gallstone ileus found in a patient with previous pancreaticoduodenectomy (Whipple procedure). Investigation by computed tomography of the abdomen showed a transition point in the midjejunum due to a radioopaque intraluminal mass. Following resuscitation, the patient underwent laparotomy to remove the offending mass from the midjejunum. Subsequent stone analysis confirmed a cholesterol-rich gallstone. This is thus the first description of gallstone ileus following Whipple procedure. The rarity of this presentation and a literature review is presented.
我们报告一例在先前接受过胰十二指肠切除术（惠普尔手术）的患者中发现的因胆石性肠梗阻导致的病例。腹部计算机断层扫描检查显示，由于不透射线的腔内肿块，空肠中部出现了一个移行点。复苏后，患者接受剖腹手术以从空肠中部移除致病肿块。随后的结石分析证实为富含胆固醇的胆结石。因此，这是惠普尔手术后胆石性肠梗阻的首次描述。本文介绍了这种罕见表现并进行了文献综述。
