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胆石性肠梗阻:胆石症的罕见并发症:一例报告

Gallstone ileus: Unusual complication of cholelithiasis: A case report.

作者信息

Ali Abdihamid Mohamed, Er Sadettin

机构信息

Department of General Surgery, Mogadishu Somali Turkey, Recep Tayyip Erdogan Training and Research Hospital, Somalia.

Department of General Surgery, Ankara City Hospital, Ankara, Turkey.

出版信息

Ann Med Surg (Lond). 2022 Mar 4;75:103476. doi: 10.1016/j.amsu.2022.103476. eCollection 2022 Mar.

DOI:10.1016/j.amsu.2022.103476
PMID:35386795
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8978095/
Abstract

INTRODUCTION AND IMPORTANCE

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.

CASE PRESENTATION

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.

CLINICAL DISCUSSION

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.

CONCLUSIONS

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.

摘要

引言与重要性

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。

病例报告

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。

临床讨论

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。

结论

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。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b077/8978095/c8e98ffd3def/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b077/8978095/ead9b7cdcfe8/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b077/8978095/e3e9526dad4a/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b077/8978095/c8e98ffd3def/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b077/8978095/ead9b7cdcfe8/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b077/8978095/e3e9526dad4a/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b077/8978095/c8e98ffd3def/gr3.jpg

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Cureus. 2021 Sep 23;13(9):e18205. doi: 10.7759/cureus.18205. eCollection 2021 Sep.
2
Recurrent intestinal obstruction due to gallstone ileus during same hospital admission: a case report and literature review.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
J Surg Case Rep. 2021 Apr 30;2021(4):rjab024. doi: 10.1093/jscr/rjab024. eCollection 2021 Apr.
3
大肠胆结石性肠梗阻:罕见的经胆囊结肠瘘自发排出
Cureus. 2025 Feb 27;17(2):e79754. doi: 10.7759/cureus.79754. eCollection 2025 Feb.
4
Gallstone Ileus in a Young Patient: A Clinical Case Report and Literature Review.一名年轻患者的胆石性肠梗阻:临床病例报告及文献综述
Cureus. 2023 Jan 3;15(1):e33291. doi: 10.7759/cureus.33291. eCollection 2023 Jan.
The SCARE 2020 Guideline: Updating Consensus Surgical CAse REport (SCARE) Guidelines.
SCARE 2020 指南:更新共识手术病例报告(SCARE)指南。
Int J Surg. 2020 Dec;84:226-230. doi: 10.1016/j.ijsu.2020.10.034. Epub 2020 Nov 9.
4
Surgery for gallstone ileus: a nationwide comparison of trends and outcomes.胆囊结石性肠梗阻的手术治疗:全国范围内的趋势和结局比较。
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Gallstone ileus: endoscopic removal of a gallstone obstructing the lower ileum.胆结石性肠梗阻:内镜下取出阻塞回肠下段的胆结石。
Dig Liver Dis. 2009 Jun;41(6):446. doi: 10.1016/j.dld.2008.06.017. Epub 2008 Sep 16.
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