Hobbs Nicholas, Barghash Mohammed, Peters Paul A, Mansour Moustafa
General Surgery, North Manchester General Hospital, Manchester, GBR.
Cureus. 2020 Dec 18;12(12):e12138. doi: 10.7759/cureus.12138.
Gallstone ileus is a rare but significant cause of bowel obstruction. An 82-year-old female was admitted to the hospital with abdominal pain and was initially treated for a possible urinary tract infection. Following a surgical review and based on history, clinical examination as well as radiological findings, a diagnosis of gallstone ileus was made. The patient was prepared for surgery; however, whilst awaiting theatre, she spontaneously passed the obstructing gallstone with full resolution of bowel obstruction symptoms. The usual treatment for gallstone ileus is surgical management with an enterolithotomy; nevertheless, this case highlights the importance of close monitoring and adapting a management plan to fit an evolving clinical scenario.
胆石性肠梗阻是一种罕见但重要的肠梗阻病因。一名82岁女性因腹痛入院，最初因可能的尿路感染接受治疗。经过外科会诊，并根据病史、临床检查以及影像学检查结果，诊断为胆石性肠梗阻。患者已做好手术准备；然而，在等待手术期间，她自行排出了阻塞性胆结石，肠梗阻症状完全缓解。胆石性肠梗阻的常规治疗方法是行肠石切除术；尽管如此，该病例凸显了密切监测以及根据不断变化的临床情况调整治疗方案的重要性。
