Gallstone ileus - the double challenge: case report and review of the literature
Journal Title: Journal of Clinical and Investigative Surgery - Year 2016, Vol 1, Issue 1
Abstract
Gallstone ileus is a rare condition which occurs as an evolutive complication of biliary lithiasis. It occurs after stone migration from extrahepatic biliary tree to the digestive lumen, mostly through a biliary-enteric fistula. This condition involves repeated inflammatory relapses with the formation of local adhesions and generally requires a long evolution. The vast majority of patients with biliary ileus are third aged women who often have concomitant medical illnesses. Gallstone ileus surgery deals with the two components: bowel obstruction and biliary pole. Obstruction solving is approached as a surgical emergency and it requires an attitude adapted to the local situation. The attitude towards biliary surgery for gallstone ileus is a matter in debate. It could be one-stage surgery, elective surgery or expectancy and its choice is imposed by both local and general condition of the patient. We report the case of a middle-age woman whose first symptom of cholelithiasis was the gallstone ileus. Plain upright abdominal radiography revealed air-fluid levels with distended loops of the small bowel and pneumobilia. Laparotomy was decided and exploration revealed an impacted gallstone into the ileum and dense adhesions were found under the liver region. Enterolithotomy for gallstone removal was made. Postoperative evolution was uneventful with discharge on 7th day.
Authors and Affiliations
Petrişor Banu, Vlad D. Constantin, Florian Popa, Mihaela F. Nistor, Ion G. Motofei, Cristian Bălălău
Keywords
Related Articles
- EP ID EP198345
- DOI 10.25083/2559.5555.11.1521
- Views 146
- Downloads 0
Synchronous rectal and breast cancer in a 40-year-old woman
Multiple primary malignancies have an increasing incidence in the general population due to better diagnostic tools and the increased life expectancy. However, synchronous lesions are still rare and have a rate which var...
Four years of experience in our clinic regarding hysteroscopies for abnormal uterine hemorrhages
Introduction. Abnormal uterine hemorrhages (AUH) are the most common symptom for presentation to gynecologist. Any uterine bleeding other than menstrual bleeding, which concerns the duration, frequency, quality or quanti...
Management of nonunion after an old - neglected ankle fracture in diabetic patient; case report
Ankle fractures represent 9% of fractures. Even if it is a relatively usual fracture, the presence of diabetes makes treatment more difficult and rate of complications is higher than in the rest of population. The incide...
Uterine artery embolization angiography and fertility related aspects
Purpose. Uterine artery embolization is a minimally invasive technique. It applies the principle of targeted anatomical structure devascularisation with utility in fibroid conservative therapy, including for future ferti...
Is adjuvant hysterectomy an option after radio-chemotherapy for locally advanced cervical cancer? A review.
Objective. The purpose of this paper is to review the current concepts in the literature regarding the beneficial effects of adjuvant surgery after concurrent radio-chemotherapy for locally advanced cervical cancer. Meth...