Gallstone ileus one quarter of a century post cholecystectomy
Journal Title: Annals of Hepatology - Year 2008, Vol 7, Issue 3
Abstract
Gallstone ileus is a rare but potentially serious complication of cholelithiasis. It is usually preceded by history of biliary symptoms. It usually occurs as a result of a large gallstone creating and passing through a cholecysto-enteric fistula. Most of the time, the stone will pass the GI tract without any problems, but large enough stones can cause obstruction. The two most common locations of impaction are the terminal ileum and the ileocaecal valve because of the anatomical small diameter and less active peristalsis. We present an unusual case of small bowel obstruction secondary to gallstone ileus 24 years after an open cholecystectomy.
Authors and Affiliations
Mahmud Saedon, Stavros Gourgiotis, Nikolaos Salemis, Ali Majeed, Apostolos Zavos
Keywords
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