scholarly journals Diagnosis and treatment of gallstone intestinal obstruction in an adult patient

2021 ◽  
Vol 9 (2) ◽  
pp. 090-094
Author(s):  
Fatin R. Polat ◽  
Ilhan Bali ◽  
Yasin Duran ◽  
Suat Benek
Keyword(s):  
Intestinal Obstruction ◽  
Gallstone Ileus ◽  
Biliary Colic ◽  
Two Stage ◽  
Abdominal Ct ◽  
Case Presentation ◽  
Mechanical Intestinal Obstruction ◽  
History Of ◽  
Surgery First ◽  
Bowel Dilatation

Background: Gallstone ileus, which is called Type Vb Mirizzi Syndrome, is a rare case of mechanical intestinal obstruction observed in older patients with history of cholelithiasis or cholecystitis. Diagnostic Imaging plays an important role in the management of patients with suspected gallstone ileus. X-Ray and Abdominal Computed Tomography (CT) are the preferred modality. Case presentation: The patient was diagnosed with gallstone ileus at the age of 45. The case had 10 years history of biliary colic disease. The patient who is suffered from intestinal obstruction. CT demonstrated pneumobilia involving the gallbladder, a 5, 5 cm calcified stone in the ileum and small bowel dilatation. He underwent enterolithotomy and a huge stone was removed. When gallbladder area was checked, the gallbladder was highly adherent (to colon and stomach) and was inflamed. We suspected malignancy so multipl biopsy was taken. Two-stage treatment model was planned. After the surgery, any emerging complications were closely monitored. Conclusions: Abdominal CT are the preferred modality for diagnosis. The main treatment for gallstone intestinal obstruction is surgery. First step enterotomy, later intented for the gallbladder. There are two type of surgical approach for gallbladder: one-stage treatment or two-stage treatment according the inflammation of gallbladder

scholarly journals Gallstone ileus as a cause of upper intestinal obstruction

1996 ◽  
Vol 114 (4) ◽  
pp. 1239-1243 ◽  
Author(s):  
Israel Szajnbock ◽  
Fernando Lorenzi ◽  
Aldo Junqueira Rodrigues Jr. ◽  
Luis Fernando Correa Zantut ◽  
Renato Sérgio Poggetti ◽  
...  
Keyword(s):  
Intestinal Obstruction ◽  
Surgical Approach ◽  
Gallstone Ileus ◽  
Age Groups ◽  
Ileocecal Valve ◽  
Older Age ◽  
Intestinal Lumen ◽  
Degenerative Diseases ◽  
Two Stage ◽  
Mechanical Intestinal Obstruction

Gallstone ileus, a mechanical intestinal obstruction caused by the passage of a gallstone into the intestinal lumen through a fistula, although not common, deserves to more carefully studied due to its morbidity and mortality. Its incidence among older-age groups explains its association with chronic and degenerative diseases, which increase the complexity of the treatment choice.The need and appropriateness of a surgical approach to a cholecystenteric fistula to solve the obstructive emergency, in a one or two stage procedure, has been discussed in the literature. It has also been reported that gallstone ileus is an uncommon cause of upper intestinal obstruction. Intestinal obstruction is seen more frequently after a gallstone impacts at the ileocecal valve. The authors report a case of gallstone ileus as a cause of upper intestinal obstruction and discuss its diagnosis and treatment.

scholarly journals Ileoileal knotting: a rare cause of intestinal obstruction: a case report

2021 ◽  
Vol 15 (1) ◽  
Author(s):  
Yusuf Mohammed ◽  
Kirubel Tesfaye
Keyword(s):  
Abdominal Pain ◽  
Intestinal Obstruction ◽  
Sudden Onset ◽  
Rapid Progression ◽  
Case Presentation ◽  
Postoperative Course ◽  
Child Bearing ◽  
Mechanical Intestinal Obstruction ◽  
Tentative Diagnosis ◽  
Very High

Abstract Background Ileoileal knotting is one of the rarest causes of intestinal obstruction. The pathology involves knotting of the ileum around itself, leading to mechanical intestinal obstruction that can rapidly evolve to gangrene. Case presentation Here we will discuss the case of an 18-year-old Oromo girl who presented with sudden onset of severe abdominal pain and signs of generalized peritonitis.Ultrasound examination showed massive peritoneal and cul-de-sac fluid. Explorative laparotomy was done, with a tentative diagnosis of ruptured ovarian cyst. Intraoperative finding was a gangrenous ileoileal knot. The gangrenous segment was resected and ileotransverse anastomosis done. Postoperative course was uneventful, and the patient was discharged improved on the sixth postoperative day. Conclusion We present this case to highlight the diagnostic difficulty that one can face in females of child-bearing age and to create awareness of this rare cause of intestinal obstruction, as morbidity and mortality are very high because of rapid progression to gangrene.

563 A Rare Case of Small Bowel Obstruction Secondary to Peritoneal Encapsulation, Congenital Adhesional Band and Gallstone Ileus

2021 ◽  
Vol 108 (Supplement_6) ◽  
Author(s):  
P Gungadin ◽  
A Taib ◽  
M Ahmed ◽  
A Sultana
Keyword(s):  
Small Bowel ◽  
Small Bowel Obstruction ◽  
Bowel Obstruction ◽  
Unusual Case ◽  
Gallstone Ileus ◽  
Gall Stone ◽  
Case Presentation ◽  
Peritoneal Encapsulation ◽  
History Of ◽  
Gall Stone Ileus

Abstract Introduction Small bowel obstruction can be caused by multiple factors. We describe an unusual case of small bowel obstruction secondary to three rare factors: gallstone ileus, peritoneal encapsulation and congenital adhesional band. Case Presentation A seventy-nine-year-old male presented with a four-day history of obstipation and abdominal pain. CT abdomen pelvis revealed small bowel obstruction secondary to gallstone ileus. The patient was managed by laparotomy. The intraoperative findings revealed the presence of a congenital peritoneal encapsulation with an adhesional band and gallstone proximal to the ileo-caecal valve. Although there was some dusky small bowel, this recovered following the release of the band. Discussion Peritoneal Encapsulation is a rare congenital pathology resulting in the formation of an accessory peritoneal membrane around the small bowel. This condition is asymptomatic and rarely presents as small bowel obstruction. The diagnosis is often made at laparotomy. There are less than 60 cases reported in literature. Gallstone ileus is another rare entity caused by an inflamed gallbladder adhering to part of the bowel resulting in a fistula. Conclusions The rarity of these conditions mean that they are poorly understood. A combination of this triad of gall stone ileus in the presence of peritoneal encapsulation and congenital band has not been reported before. Knowledge of this would raise awareness, facilitate diagnosis and management of patients.

scholarly journals New in the problem gallstone bowel obstruction

2020 ◽  
Vol 25 (1) ◽  
pp. 62-68
Author(s):  
V. I. Mamchich ◽  
N. D. Bondarenko ◽  
M. A. Chaika
Keyword(s):  
Intestinal Obstruction ◽  
Gallstone Ileus ◽  
Bile Leakage ◽  
Acute Intestinal Obstruction ◽  
Diagnostic Methods ◽  
Acute Calculous Cholecystitis ◽  
Topical Diagnosis ◽  
Mechanical Intestinal Obstruction ◽  
Complex Forms ◽  
Calculous Cholecystitis

Aim. To identify the frequency of gallstone ileus based on the surgical experience of the Kiev region in patients with acute calculous cholecystitis and acute intestinal obstruction. To evaluate the capabilities of the gallstone ileus diagnosis algorithm for correct topical diagnosis before surgery.Materials and methods. For 2004–2018, 13713 patients with acute cholecystitis and 3609 patients with acute intestinal obstruction were hospitalized. In 0.64% of cases, gallstone ileus was diagnosed in patients with acute calculous cholecystitis, in 0.41% in choledocholithiasis, and in 2.4% in its complex forms. In 0.73% gallstone ileus was detected during operations for acute intestinal obstruction and in 1.12% for its obstructive form.Results. A total of 25 patients with gallstone intestinal obstruction underwent surgery. In the topical diagnosis of gallstone intestinal obstruction, X-ray contrast methods dominate. During surgical procedure, only with pyloroduodenal variants of obstruction, cholecystectomy is performed simultaneously with the elimination of obstruction. In other situations, cholecystectomy is performed after 3–8 months. Of the 25 patients, 4 patients died due to ascending cholangitis, peritonitis due to bile leakage, and severe co-morbidities.Conclusion. The use of the algorithm of advanced diagnostic methods allows you to receive a diagnosis in most patients. The most valuable in topical diagnostics are contrast methods. New in gallstone ileus is the migration of gallstone after endoscopic papillosphincterotomy with mechanical lithotripsy for choledocholithiasis, especially with its complex forms. In our opinion, all types of gallstone ileus can be combined into Bartolin-Bouveret syndrome, which first described this variant of mechanical intestinal obstruction.

scholarly journals Gallstone ileus: dilemma in the management

2017 ◽  
Vol 7 (3) ◽  
Author(s):  
Girish D. Bakhshi ◽  
Rajesh G. Chincholkar ◽  
Jasmine R. Agarwal ◽  
Madhukar R. Gupta ◽  
Prachiti S. Gokhe ◽  
...  
Keyword(s):  
Intestinal Obstruction ◽  
Gallstone Ileus ◽  
Postoperative Recovery ◽  
Duodenal Fistula ◽  
Respiratory Complications ◽  
One Stage ◽  
Mechanical Intestinal Obstruction ◽  
To Come ◽  
Definitive Management ◽  
The Ideal

Gallstone ileus is a mechanical intestinal obstruction caused due to impaction of a large gallstone within the bowel. The ideal treatment of gallstone ileus remains controversial, with the main dilemma being between a one-stage and a two-stage surgical procedure. A 69-year old male patient presented with gallstone ileus. A one-stage procedure with enterolithotomy and primary closure of duodenal fistula was done. His immediate postoperative recovery was uneventful, but after 3 weeks of surgery, he developed respiratory complications and expired of multi-organ failure. In gallstone ileus, patient presents with symptoms of intestinal obstruction. Enterolithotomy alone remains the most common operative method, but the definitive surgical management is still under research. An intraoperative dilemma between a one-stage or twostage surgery is difficult to resolve in absence of clear guidelines. Hence, more studies are required to come to a consensus in deciding its definitive management.

scholarly journals Gossypiboma Causing Mechanical Intestinal Obstruction: A Case Report

2012 ◽  
Vol 2012 ◽  
pp. 1-3 ◽  
Author(s):  
Akin Aydogan ◽  
Seckin Akkucuk ◽  
Ibrahim Yetim ◽  
Orhan Veli Ozkan ◽  
Murat Karcioglu
Keyword(s):  
Intestinal Obstruction ◽  
Open Cholecystectomy ◽  
Ileocecal Valve ◽  
The Body ◽  
Endoscopic Removal ◽  
Mechanical Intestinal Obstruction ◽  
Transmural Migration ◽  
History Of ◽  
One Year ◽  
Rare Situation

Introduction. Gossypiboma (GP) is a term used to express the mass resulting from forgotten cotton sponge in operations. Rarely, a transmural migration may occur into the gastrointestinal lumen without creating any defect by GP. Laparotomy or endoscopic removal may be required, by the way it can be taken out of the body itself by intestinal ways. In this study, we reported a case of mechanical intestinal obstruction causing GP.Case. The fifty-one-year-old female patient admitted to the emergency department with the complaints of mechanical intestinal obstruction and had a history of open cholecystectomy 20 years ago. There were the findings of intestinal obstruction in abdominal plain radiography and computerized tomography. The sponge that obstructed the lumen completely 40 cm proximal to the ileocecal valve was identified in the laparotomy with the diagnosis of brid ileus. The small intestine was closed over double-fold after removal of sponge. Transmural migration of abdominal-remained sponge was thought to be occurred without creating a defect after cholecystectomy. Postoperatively, the patient was discharged without having any problems at 4th day of hospitalization.Conclusion. Although it is a rare situation in routine clinical practice, GP should be considered as a differential diagnosis in the patients who had a diagnosis of mechanical intestinal obstruction, and laparotomy was applied before. As GP may lead to situations which cause mortality, all precautions should be taken to prevent it.

scholarly journals Gallstone Ileus: A Rare Cause of Intraluminal Small Bowel Obstruction

2021 ◽  
pp. 1-2
Author(s):  
Alyssa Chong Li ◽  
◽  
Reuben Ndegwa Ndegwa ◽  
Goutham Sivasuthan ◽  
◽  
...  
Keyword(s):  
Bowel Obstruction ◽  
Gallstone Ileus ◽  
Current Smoker ◽  
Computerised Tomography ◽  
Quadrant Pain ◽  
Female Population ◽  
Case Presentation ◽  
Mechanical Intestinal Obstruction ◽  
Mechanical Bowel Obstruction

Background: Gallstone ileus is mechanical intestinal obstruction secondary to impaction of a gallstone within the gastrointestinal tract, and accounts for 1-4% of mechanical bowel obstruction, with a preponderance in the female population [1]. Case Presentation: 56 year-old female presented with right upper quadrant pain (RUQ) and multiple vomits, current smoker. Mechanical obstruction noted on computerised-tomography and underwent laparotomy revealing gallstone ileus. This is on a background of two prior episodes of RUQ pain, presenting to the hospital but lost of follow-up after discharging against medical advice two years ago

scholarly journals Phytobezoar causing intestinal obstruction in a neonate: A case report

2020 ◽  
Vol 10 ◽  
pp. 3
Author(s):  
Ravi Patcharu ◽  
Karunesh Chand ◽  
Badal Parikh
Keyword(s):  
Intestinal Obstruction ◽  
Clinical Skill ◽  
Exploratory Laparotomy ◽  
History Taking ◽  
Case Presentation ◽  
Detailed History ◽  
Radiological Features ◽  
Common Etiology ◽  
History Of ◽  
Vegetative Matter

Background: Phytobezoars are concretions of non-digestible vegetative matter in the gastroin­testinal tract and are a rare cause of intestinal obstruction in children. Case presentation: We report a case of intestinal obstruction in a 2-day-old neonate with no specific radiological features pointing to any common etiology. On exploratory laparotomy, a swollen raisin was found impacted in the ileum causing intestinal obstruction. The history taken in retrospect revealed that the elder sibling had witnessed her father perform a traditional ritual of putting a drop of honey into the mouth of the newborn and she imitated the same with a raisin, which led to the obstruction. Conclusion: A careful detailed history of local traditional rituals is at times, the most important pointer towards the etiology of a clinical condition. The basic clinical skill of history taking is still very important, despite the availability of advanced radiological investigations.

scholarly journals Primary abdominal cocoon with cryptorchidism: a case report

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Wei-Jie Song ◽  
Xin-Yi Liu ◽  
Galal Abdullah Ali Saad ◽  
Aawrish Khan ◽  
Kai-Yan Yang ◽  
...  
Keyword(s):  
Intestinal Obstruction ◽  
Poor Prognosis ◽  
Rare Case ◽  
Greater Omentum ◽  
Abdominal Cocoon ◽  
Case Presentation ◽  
Bilateral Cryptorchidism ◽  
Surgical Methods ◽  
Intestinal Adhesion ◽  
History Of

Abstract Background We report a rare case of primary abdominal cocoon with bilateral cryptorchidism. Case presentation The patient had a history of laparoscopic surgery for bilateral cryptorchidism 6 years earlier. He was admitted to the hospital again due to intestinal obstruction. Surgery was performed on the patient after the failure of conservative treatment. The patient was diagnosed with primary abdominal cocoon. Instead of the greater omentum, many cocoon-like tissues surrounding the bowel were seen during operation. Abdominal surgery can increase the risk of intestinal adhesion, which is one of the main causes of intestinal obstruction, especially in patients with abdominal cocoon. We hypothesize that the surgery 6 years earlier to address transabdominal bilateral cryptorchidism accelerated the patient’s intestinal obstruction. Conclusion This case implies that it is important for urologists to evaluate whether their patients exhibit abdominal cocoon before cryptorchidism surgery, to choose better surgical methods and reduce the risks of poor prognosis.

scholarly journals An uncommon cause of common presentation – Gall stone ileus: A case report and review of literature

2014 ◽  
Vol 6 (1) ◽  
pp. 112-114
Author(s):  
Anand Munghate ◽  
Sushil Mittal ◽  
Harnam Singh ◽  
Anjna Garg ◽  
Gurpreet Singh ◽  
...  
Keyword(s):  
Intestinal Tract ◽  
Gallstone Ileus ◽  
Gall Stone ◽  
The Elderly ◽  
Medical Sciences ◽  
Mechanical Intestinal Obstruction ◽  
Female Predominance ◽  
History Of ◽  
Emergent Laparotomy ◽  
Gall Stone Ileus

About 1%-4% of all cases of mechanical intestinal obstruction were caused by rare disease gallstone ileus. It is an uncommon complication of cholelithiasis. The formation of a fistula between the gallbladder and the duodenum may allow a gallstone to enter the intestinal tract. Gallstone ileus usually occurs in the elderly with a female predominance and is associated with a high mortality rate. The diagnosis of gallstone ileus entails a clinical challenge, especially in older patients in whom it may be easily overlooked. Here we report a case of 75 year old female patient presented in emergency with 4 day history of nausea, vomiting and pain in epigastric region. Emergent laparotomy was done and it was surprise to see that the cause of obstruction was gall stone ileus, enterolithotomy and repair was done. DOI: http://dx.doi.org/10.3126/ajms.v6i1.9307 Asian Journal of Medical Sciences Vol.6(1) 2015 112-114

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