Ali Abdihamid Mohamed, Er Sadettin
Department of General Surgery, Mogadishu Somali Turkey, Recep Tayyip Erdogan Training and Research Hospital, Somalia.
Department of General Surgery, Ankara City Hospital, Ankara, Turkey.
Ann Med Surg (Lond). 2022 Mar 4;75:103476. doi: 10.1016/j.amsu.2022.103476. eCollection 2022 Mar.
Gallstone ileus is a rare cause of intestinal obstruction with a high morbidity and mortality rate, which is often linked to delayed or misdiagnosed intestinal obstruction. Gallstone ileus requires a high index of suspicion to diagnose.
This report describes a 55-year-old male who presented the case of gallstone ileus with four years history of gallstone disease, emergency explorative laparotomy was done, enterotomy and stone extraction from the small bowel, the post-operative patient was uneventful and was discharged after full enteral tolerance.
CT scanning has become increasingly important as a diagnostic tool, with a sensitivity of 93% and its use has increased in recent years, In the case of patients with gallstone ileus, simple enterolithotomy is both safe and effective.
Gallstone Ileus is an uncommon complication of gallstone disease, most commonly seen in females in advanced age, our case report presents young adult male and high index suspicion in diagnosis and urgent intervention is mandatory for better outcome of the patients.
胆石性肠梗阻是肠梗阻的一种罕见病因,发病率和死亡率较高,常与肠梗阻的诊断延迟或误诊有关。胆石性肠梗阻需要高度怀疑才能诊断。
本报告描述了一名55岁男性,患有胆石性肠梗阻,有四年胆石病史,进行了急诊剖腹探查术,行小肠切开取石术,术后患者情况平稳,在完全恢复肠道耐受性后出院。
CT扫描作为一种诊断工具变得越来越重要,其敏感性为93%,近年来其应用有所增加。对于胆石性肠梗阻患者,单纯肠切开取石术既安全又有效。
胆石性肠梗阻是胆石病的一种罕见并发症,最常见于老年女性,我们的病例报告呈现的是年轻成年男性,诊断时需高度怀疑,为使患者获得更好的预后,必须进行紧急干预。