同一住院期间因胆结石性肠梗阻导致的复发性肠梗阻：病例报告及文献综述

Recurrent intestinal obstruction due to gallstone ileus during same hospital admission: a case report and literature review.

作者信息

Alnahari Danah I, Almalki Sami A, Alabeidi Fahad A

机构信息

College of Medicine, King Saud Bin Abdulaziz University for Health Sciences, Riyadh, Saudi Arabia.

Department of Surgery, King Abdulaziz Medical City, Ministry of National Guard-Health Affairs, Riyadh, Saudi Arabia.

出版信息

J Surg Case Rep. 2021 Apr 30;2021(4):rjab024. doi: 10.1093/jscr/rjab024. eCollection 2021 Apr.

DOI:10.1093/jscr/rjab024

PMID:33959249

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8088289/

Abstract

Gallstone ileus (GSI) is an uncommon entity that causes obstruction of the intestinal lumen due to gallstones. It affects mainly the elderly with multiple comorbidities, leading to a high mortality rate. In this case, an 81-year-old woman was admitted due to GSI. She had a recurrence after 5 days of the index surgery. Recurrent intestinal obstruction due to GSI during the same hospitalization despite complete clearance of the small bowel from stones is rare. Through our case, we will discuss management along with a review of the current evidence.

摘要

胆结石性肠梗阻（GSI）是一种罕见的病症，由胆结石导致肠腔梗阻。它主要影响患有多种合并症的老年人，导致死亡率很高。在本病例中，一名81岁女性因胆结石性肠梗阻入院。初次手术后5天出现复发。尽管小肠内结石已完全清除，但在同一住院期间因胆结石性肠梗阻导致反复肠梗阻的情况很罕见。通过我们的病例，我们将讨论其治疗方法并回顾当前的证据。