Alamoodi Munaser
Department of Surgery, Faculty of Medicine, King Abdulaziz University, 3239 Suliaman Abdullah Suliaman street, Jeddah 21589, Saudi Arabia.
J Surg Case Rep. 2023 Oct 17;2023(10):rjad557. doi: 10.1093/jscr/rjad557. eCollection 2023 Oct.
Gallstone ileus is a rare entity that causes bowel obstruction by gaining access through a cysto-enteric fistula. This is a case report of a 70-year-old man presenting with small bowel obstruction secondary to distal jejunal gallstone ileus impaction. He is not known to have any predisposing factors. He was managed effectively with an enterolithotomy. Early diagnosis is key to a good prognosis. Although other management options are available, enterolithotomy with or without cholecystectomy remains the gold standard of management.
胆结石性肠梗阻是一种罕见的疾病,通过胆囊肠瘘进入肠道导致肠梗阻。本文报告一例70岁男性患者,因空肠远端胆结石性肠梗阻嵌顿继发小肠梗阻。患者无已知的诱发因素。通过肠切开取石术有效治疗。早期诊断是良好预后的关键。虽然有其他治疗选择,但无论是否行胆囊切除术,肠切开取石术仍是治疗的金标准。