scholarly journals A case of colonic gallstone ileus with a spontaneous evacuation

1970 ◽  
Vol 9 (1) ◽  
pp. 47-49 ◽  
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

scholarly journals Chronic Constipation in the Elderly: An Unusual Presentation of Colonic Dysmotility in an Elderly Patient

2013 ◽  
Vol 2013 ◽  
pp. 1-2
Author(s):  
R. Peravali ◽  
H. Kranenburg ◽  
J. E. Martin ◽  
N. Keeling
Keyword(s):  
Elderly Patient ◽  
Case Report ◽  
Bowel Obstruction ◽  
Large Bowel ◽  
Chronic Constipation ◽  
The Elderly ◽  
Large Bowel Obstruction ◽  
History Of ◽  
Underlying Pathology ◽  
Colonic Dysmotility

Introduction. Chronic constipation is common in the elderly, and often no underlying pathology is found. Primary colonic dysmotility has been described in children but is rare in the elderly.Case report.We present an 82-year-old female with long standing constipation presenting acutely with large bowel obstruction. Laparotomy and Hartman’s procedure was performed, and a grossly distended sigmoid colon was resected. Histology revealed a primary myopathic process.Conclusion.Primary colonic myopathy should be considered in elderly patients presenting with large bowel obstruction and a long preceding history of constipation, particularly when previous endoscopic examinations were normal.

scholarly journals Pediatric sigmoid volvulus of an extremely long sigmoid colon with hypoganglionosis: a case report

2021 ◽  
Vol 49 (7) ◽  
pp. 030006052110324
Author(s):  
Matjaž Horvat ◽  
Marko Hazabent ◽  
Marjan Sekej ◽  
Milka Kljaić Dujić
Keyword(s):  
Sigmoid Colon ◽  
Bowel Obstruction ◽  
Large Bowel ◽  
Treatment Options ◽  
Vascular Occlusion ◽  
Abdominal Distension ◽  
Large Bowel Obstruction ◽  
Sigmoid Volvulus ◽  
History Of

Sigmoid volvulus is an extremely rare cause of intestinal obstruction in pediatric patients. This condition occurs when a redundant sigmoid loop with a narrow mesenteric base of attachment to the posterior abdominal wall rotates around its mesenteric axis. This situation might result in vascular occlusion and large bowel obstruction. There are only a few predisposing factors of sigmoid volvulus, such as a long-term history of constipation or pseudo-obstruction with an excessive sigmoid colon. Underlying hypoganglionosis can also lead to large bowel obstruction. There have only been two reported cases of hypoganglionosis with sigmoid volvulus, and both were in adults. Sigmoid volvulus usually presents with abdominal pain, nausea, vomiting, constipation and abdominal distension, an absence of stool, or the presence of melenic stool in the rectum. Initial treatment options are non-surgical for stable patients, although surgical management might be necessary. If sigmoid volvulus is not recognized and resolved, it may lead to serious complications and death. Pediatric sigmoid volvulus is frequently the fulminant type, and therefore, a decision about treatment must be prompt. We present an unusual pediatric case of an extremely long sigmoid colon with hypoganglionosis, which twisted and caused obstruction. This condition was resolved with surgical resection.

scholarly journals Sigmoid gallstone ileus: a rare cause of large bowel obstruction

2010 ◽  
Vol 2010 (nov04 1) ◽  
pp. bcr0420102886-bcr0420102886 ◽  
Author(s):  
N. Ventham ◽  
T. Eves ◽  
D. Raje ◽  
P. Willson
Keyword(s):  
Bowel Obstruction ◽  
Large Bowel ◽  
Gallstone Ileus ◽  
Large Bowel Obstruction

scholarly journals Large Bowel Obstruction Due to a Big Gallstone Successfully Treated with Endoscopic Mechanical Lithotripsy

2015 ◽  
Vol 2015 ◽  
pp. 1-3 ◽  
Author(s):  
Marco Balzarini ◽  
Laura Broglia ◽  
Giovanni Comi ◽  
Calcedonio Calcara
Keyword(s):  
High Risk ◽  
Sigmoid Colon ◽  
Surgical Management ◽  
Bowel Obstruction ◽  
Large Bowel ◽  
Colonic Obstruction ◽  
Gallstone Ileus ◽  
Large Bowel Obstruction ◽  
Mechanical Lithotripsy ◽  
Mechanical Bowel Obstruction

Colonic gallstone ileus in an uncommon mechanical bowel obstruction caused by intraluminal impaction of one or more gallstones. The surgical management of gallstone ileus is complex and is potentially of high risk. There have been reports of gallstone extractions using various endoscopic modalities to relieve the obstruction. In this report we present the technique employed to successfully perform a mechanical lithotripsy and extraction of a large gallstone embedded in a sigmoid colon affected by diverticular stenosis. We passed through the stenosis with a 11.3 mm videoscope with 3.7 mm channel. A large lithotripsy extraction basket was used to catch and break up the stone and fragments were removed using the same basket. The patient was discharged asymptomatic three days after the procedure. Using appropriate devices mechanical lithotripsy is a safe and effective method to treat colonic obstruction and avoid surgery in the setting of gallstone ileus even in case of big stones.

scholarly journals Large Bowel Obstruction in the Emergency Department: Imaging Spectrum of Common and Uncommon Causes

2017 ◽  
Vol 7 ◽  
pp. 15 ◽  
Author(s):  
Subramaniyan Ramanathan ◽  
Vijayanadh Ojili ◽  
Ravi Vassa ◽  
Arpit Nagar
Keyword(s):  
Computed Tomography ◽  
Bowel Obstruction ◽  
Large Bowel ◽  
Delayed Diagnosis ◽  
Standard Of Care ◽  
Large Bowel Obstruction ◽  
High Morbidity ◽  
Comprehensive Review ◽  
Plain Radiographs

Although large bowel obstruction (LBO) is less common than small bowel obstruction, it is associated with high morbidity and mortality due to delayed diagnosis and/or treatment. Plain radiographs are sufficient to diagnose LBO in a majority of patients. However, further evaluation with multidetector computed tomography (MDCT) has become the standard of care to identify the site, severity, and etiology of obstruction. In this comprehensive review, we illustrate the various causes of LBO emphasizing the role of MDCT in the initial diagnosis and detection of complications along with the tips to differentiate from disease which can mimic LBO.

scholarly journals Gallstone Ileus of the Sigmoid Colon: An Unusual Cause of Large-Bowel Obstruction

HPB Surgery ◽  
2010 ◽  
Vol 2010 ◽  
pp. 1-3 ◽  
Author(s):  
Nadir Osman ◽  
Daren Subar ◽  
Mong-Yang Loh ◽  
Andrzej Goscimski
Keyword(s):  
Sigmoid Colon ◽  
Bowel Obstruction ◽  
Large Bowel ◽  
Gallstone Ileus ◽  
Large Bowel Obstruction ◽  
Fistula Formation ◽  
Radiological Investigation ◽  
Diagnostic Aid ◽  
Contrast Enhanced ◽  
Symptoms And Signs

Gallstone ileus of the colon is an exceedingly rare cause of large-bowel obstruction. It is usually the result of fistula formation between the gallbladder and large bowel facilitating entry of the stone into gastrointestinal tract. Contrast enhanced abdominal computed tomography is an important diagnostic aid. Surgical management is the treatment of choice to prevent the disastrous complications of large-bowel obstruction. We describe the case of a 92-year-old man who presented with symptoms and signs of large-bowel obstruction. Radiological investigation showed a large gallstone impacted in the sigmoid colon. Open enterolithotomy was undertaken relieving the obstruction and the patient made a full recovery.

Successful Endoscopic Relief of Large Bowel Obstruction in a Case of a Sigmoid Colon Gallstone Ileus

1997 ◽  
Vol 24 (4) ◽  
pp. 291-292 ◽  
Author(s):  
S. Garcia-López ◽  
J. J. Sebastián ◽  
R. Uribarrena ◽  
P. Solanilla ◽  
J. M. Artigas
Keyword(s):  
Sigmoid Colon ◽  
Bowel Obstruction ◽  
Large Bowel ◽  
Gallstone Ileus ◽  
Large Bowel Obstruction

scholarly journals Colonic Gallstone Ileus: A Rare Etiology of Large Bowel Obstruction

Cureus ◽  
2021 ◽  
Author(s):  
Abdulaziz O Alshehri ◽  
Turki S Aljuhani ◽  
Salihah S Alotaibi ◽  
Shahad A Almughamisi ◽  
Mariam M Ageel ◽  
...  
Keyword(s):  
Bowel Obstruction ◽  
Large Bowel ◽  
Gallstone Ileus ◽  
Large Bowel Obstruction

scholarly journals 1354 A Rare Case of Gallstone Ileus Due to Cholecystocolonic Fistula

2021 ◽  
Vol 108 (Supplement_6) ◽  
Author(s):  
A Shaladi ◽  
A Shrestha ◽  
P Basnyat
Keyword(s):  
Bowel Obstruction ◽  
Large Bowel ◽  
Incidental Finding ◽  
Gallstone Ileus ◽  
Large Bowel Obstruction ◽  
Fistula Formation ◽  
Uneventful Recovery ◽  
Emergency Laparotomy ◽  
Presenting Symptoms ◽  
Cholecystocolonic Fistula

Abstract Introduction Gallstone Ileus (GI) is an uncommon but potentially lethal complication of cholelithiasis. 50 to 70% of gallstones obstruct in the ileum, the narrowest point of the intestine. More uncommonly the gallstone can travel into the large bowel via an incompetent ileo-caecal valve and impact in the colon at a recto sigmoid junction. GI involving the sigmoid colon is extremely rare cause of large bowel obstruction. The gallstone often enters the large bowel through a fistula formation between the gallbladder and colon, and impacts at a point of narrowing, causing large bowel obstruction. Case Report We describe the case of a 72-year-old man who presented with features of bowel obstruction. CT of abdomen pelvis (CTAP) showed a large 5x5cm intraluminal gallstone obstructing at the rectosigmoid area. It showed presence of pneumobilia and incidental finding of abdominal aortic aneurysm (AAA). An emergency laparotomy revealed a cholecystocolonic fistula. The stone was extracted after milking the stone proximally and loop colostomy formed at colotomy site. The patient made an uneventful recovery. Reversal of stoma was postponed pending endovascular repair of enlarging AAA. Discussion Presenting symptoms of GI are often non-specific, frequently leading to a delay in diagnosis and treatment. Although no fistula was identified in this patient by imaging, the most common cause of GI in most patients is formation of a cholecystoduodenal fistula. Conclusions Compared with biliary enteric fistulae, the occurrence of cholecystocolonic fistulae is remarkably rare. Temporary colostomies can be considered for treating these cases alongside one-stage operations

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