Hansen Wilhelm, Kimmie Mohammed Fayaz, Anjum Usama, Bulbulia Azeemah
General Surgery, University of the Witwatersrand, Johannesburg, Johannesburg, ZAF.
General Surgery, Robert Mangaliso Sobukwe Hospital, Kimberley, ZAF.
Cureus. 2025 Jul 22;17(7):e88558. doi: 10.7759/cureus.88558. eCollection 2025 Jul.
Gallstone ileus is an uncommon complication of cholelithiasis. This case report discusses an 83-year-old patient who presented with chronic, intermittent abdominal discomfort that progressed to persistent nausea and vomiting, necessitating hospital admission. A CT scan confirmed the diagnosis of gallstone ileus, demonstrating Rigler's triad. The patient was successfully managed with a surgical enterotomy, specifically an enterolithotomy. Notably, the patient had no prior admissions for gallstone-related issues, despite a history of recurrent abdominal symptoms that had not been previously investigated. This case highlights the importance of early diagnosis and management of cholelithiasis, even in asymptomatic patients, to prevent delayed complications such as gallstone ileus, and underscores the critical role of imaging in the preoperative assessment of bowel obstruction.
胆石性肠梗阻是胆石症的一种罕见并发症。本病例报告讨论了一名83岁的患者，该患者最初表现为慢性、间歇性腹部不适，随后发展为持续性恶心和呕吐，因此需要住院治疗。CT扫描证实了胆石性肠梗阻的诊断，显示出里格勒三联征。该患者通过外科肠切开术，具体为肠石切除术成功得到治疗。值得注意的是，尽管该患者有反复出现的腹部症状病史，但之前未进行过检查，且此前没有因胆石相关问题入院治疗的情况。本病例强调了即使在无症状患者中，早期诊断和治疗胆石症对于预防诸如胆石性肠梗阻等延迟并发症的重要性，并突出了影像学在肠梗阻术前评估中的关键作用。
