Resolution of Gallstone Ileus with Spontaneous Evacuation of Gallstone: A Case Report

Gallstone ileus is an uncommon and often life-threatening complication of cholelithiasis. In this case report, we discuss a difficult diagnostic case of gallstone ileus presenting as small gut obstruction with ischemia. A 56-year-old female presented with abdominal pain and vomiting. A CT scan was performed and showed an evolving bowel obstruction with features of gut ischemia with pneumobilia although no frank hyper density suggestive of a gallstone was noted. The patient underwent emergency surgery and a 60 mm obstructing calculus was removed from the patient's jejunum, with a formal tube cholecystostomy. JMS 2018: 21 (2):117-119

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A case of colonic gallstone ileus with a spontaneous evacuation

Health Renaissance ◽

10.3126/hren.v9i1.4363 ◽

1970 ◽

Vol 9 (1) ◽

pp. 47-49 ◽

Cited By ~ 1

Author(s):

A Bajracharya ◽

OP Pathania ◽

S Adhikary ◽

CS Agrawal

Keyword(s):

Bowel Obstruction ◽

Large Bowel ◽

Gallstone Ileus ◽

Abdominal Distension ◽

The Elderly ◽

Large Bowel Obstruction ◽

High Morbidity ◽

Diagnostic Challenge ◽

History Of ◽

Spontaneous Evacuation

Colonic gallstone is an uncommon entity with a high morbidity and mortality due to various reasons. It remains a diagnostic challenge because of delayed and non-specific presentations, especially in the elderly population, often with multiple co-morbidities. We present a case of colonic gallstone ileus with spontaneous evacuation in a 67 years female who had a threeday history of intermittent bouts of colicky abdominal pain, vomiting , constipation and progressive abdominal distension, features of large bowel obstruction treated non operatively for 72 hours and passage of the stone spontaneously. Keywords: gallstone ileus; large bowel obstruction; colonic gallstone DOI: 10.3126/hren.v9i1.4363Health Renaissance, 2011: Vol.9 No.1:47-49

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Gallstone ileus: A rare and often disregarded cause of intestinal obstruction: Case report with literature review

East and Central African Journal of Surgery ◽

10.4314/ecajs.v21i1.139047 ◽

2016 ◽

Vol 21 (1) ◽

pp. 156

Author(s):

Y Mohammed

Keyword(s):

Case Report ◽

Literature Review ◽

Intestinal Obstruction ◽

Gallstone Ileus

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A case report and review of the literature of Bouveret syndrome

Annals of The Royal College of Surgeons of England ◽

10.1308/rcsann.2019.0161 ◽

2020 ◽

Vol 102 (1) ◽

pp. e15-e19 ◽

Cited By ~ 4

Author(s):

G Singh ◽

N Merali ◽

S Shirol ◽

P Drymousis ◽

S Singh ◽

...

Keyword(s):

Case Report ◽

Surgical Treatment ◽

Rare Variant ◽

Gastric Outlet Obstruction ◽

Gallstone Ileus ◽

Outlet Obstruction ◽

Review Of The Literature ◽

First Case ◽

Bouveret Syndrome

Bouveret syndrome is a rare variant of gallstone ileus causing gastric outlet obstruction. It results from the formation of either a cholecystoduodenal or a cholecystogastric fistula and subsequent migration of gallstone into the duodenum or pylorus of stomach, causing obstruction. The first case was reported by Leon Bouveret in 1896. We report a case illustrating the rarity and severity of this condition, together with a review of the literature of the different methods of endoscopic and surgical treatment.

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