Presentation of Gall Stone Ileus as Gut Obstruction

JMS SKIMS ◽  
2019 ◽  
Vol 21 (2) ◽  
pp. 117-119
Author(s):  
Munir Ahmad Wani ◽  
Mubarak Ahmad Shan ◽  
Syed Muzamil Andrabi ◽  
Ajaz Ahmad Malik
Keyword(s):  
Abdominal Pain ◽  
Case Report ◽  
Ct Scan ◽  
Bowel Obstruction ◽  
Emergency Surgery ◽  
Gallstone Ileus ◽  
Gall Stone ◽  
Life Threatening ◽  
Life Threatening Complication ◽  
Gall Stone Ileus

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

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 Gallstone ileus: a rare cause of small intestine obstruction

2021 ◽  
Author(s):  
Levan Tchabashvili ◽  
Dimitris Kehagias ◽  
Charalampos Kaplanis ◽  
Elias Liolis ◽  
Ioannis Perdikaris ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Emergency Department ◽  
Small Intestine ◽  
Abdominal Pain ◽  
Small Bowel ◽  
Small Bowel Obstruction ◽  
Bowel Obstruction ◽  
Emergency Surgery ◽  
Gallstone Ileus

A 77-year-old woman was admitted to our emergency department complaining of abdominal pain. Computed tomography was performed and showed aerobilila and a large 5.1 cm gallstone lodged in the small intestine. She underwent emergency surgery. Intraoperative findings noted small bowel obstruction caused by a large gallstone.

scholarly journals Asymptomatic colonic intussusception in ulcerative colitis: a case report

2020 ◽  
Vol 2020 (7) ◽  
Author(s):  
Taro Tanabe ◽  
Satomi Furukawa ◽  
Tomoyuki Masuda ◽  
Koji Morimoto ◽  
Tetsuo Yamana ◽  
...  
Keyword(s):  
Ulcerative Colitis ◽  
Abdominal Pain ◽  
Case Report ◽  
Ct Scan ◽  
Adult Patient ◽  
Bowel Obstruction ◽  
Total Colectomy ◽  
Entire Colon ◽  
Surveillance Colonoscopy ◽  
Annual Screening

Abstract Intussusception in adults is, especially with ulcerative colitis (UC), rare and only described in a few cases. Most adult patients with intussusception develop abdominal pain or other symptoms of bowel obstruction. This case describes an 18-year-old male with UC who treated with 5-aminosalycilicacid and underwent annual screening colonoscopies. Two attempts revealed that it was impossible to achieve total surveillance through the colonoscopy because multiple polyps were preventing the colonoscope from traversing the entire colon. Therefore, CT scan was performed and colonic intussusception was discovered incidentally, and the patient underwent elective laparoscopic total colectomy. To the best of our knowledge, this is the first reported case of asymptomatic intussusception in the adult patient with UC. When total surveillance colonoscopy fails to yield results, a CT may be advisable to pick up such an asymptomatic intussusception.

scholarly journals Gall stone ileus: Unfamiliar cause of bowel obstruction. Case report and literature review

2018 ◽  
Vol 49 ◽  
pp. 44-50 ◽  
Author(s):  
Jaffar Hussain ◽  
Asmaa M. Alrashed ◽  
Talal Alkhadher ◽  
Sarah Wood ◽  
Abdullah D. Behbehani ◽  
...  
Keyword(s):  
Case Report ◽  
Literature Review ◽  
Bowel Obstruction ◽  
Gall Stone ◽  
Gall Stone Ileus

scholarly journals Gall Stone Ileus with Acute Kidney Injury—A Case Report

Renal Failure ◽  
2011 ◽  
Vol 33 (9) ◽  
pp. 908-909 ◽  
Author(s):  
A. Sridhar ◽  
Y. Sandeep ◽  
C. Krishnakishore ◽  
P. Sriramnaveen ◽  
Y. Manjusha ◽  
...  
Keyword(s):  
Acute Kidney Injury ◽  
Case Report ◽  
Gall Stone ◽  
Kidney Injury ◽  
Gall Stone Ileus

Identification of Persistent Aortocaval Fistula Using Ultrasonography in the Outpatient Setting: A Case Report

2020 ◽  
Vol 44 (3) ◽  
pp. 150-153
Author(s):  
Richard A. Meena ◽  
Melissa N. Warren ◽  
Thomas E. Reeve ◽  
Olamide Alabi
Keyword(s):  
Abdominal Aortic Aneurysm ◽  
Case Report ◽  
Surgical Repair ◽  
Outpatient Setting ◽  
Aortocaval Fistula ◽  
Abdominal Aortic ◽  
Life Threatening ◽  
History Of ◽  
Life Threatening Complication

Aortocaval fistula (ACF) is a rare and life-threatening complication associated with rupture of an abdominal aortic aneurysm (rAAA). Early detection and management of ACF’s during surgical repair of rAAAs is recommended to reduce the risk of future aneurysm-related complications, including mortality. There is a paucity of current literature on the natural history of ACFs postendovascular exclusion. We present a case study describing the detection of a persistent ACF by duplex ultrasonography (DU) postendovascular aortic repair (EVAR).

scholarly journals Jejunogastric Intussusception: An Unusual Cause of Hematemesis

2005 ◽  
Vol 19 (12) ◽  
pp. 735-736 ◽  
Author(s):  
Inian Samarasam ◽  
Sudhakar Chandran ◽  
Uday Shankar ◽  
Biju George ◽  
Ashok Chacko ◽  
...  
Keyword(s):  
Case Report ◽  
Early Diagnosis ◽  
English Literature ◽  
Rare Complication ◽  
Jejunogastric Intussusception ◽  
Life Threatening ◽  
Life Threatening Complication

Jejunogastric intussusception is an uncommon but potentially life-threatening complication of a previous gastrojejunal anastamosis. Although jejunogastric intussusception was first described in 1914, fewer than 200 cases have been reported in the English literature thus far. Awareness of this rare complication would help in early diagnosis and appropriate management. Described here is a case report of a patient who presented with hematemesis due to an acute jejunogastric intussusception associated with gangrene of the intussuscepted jejunum.

scholarly journals Gastro-tracheal fistula - unusual and life threatening complication after esophagectomy for cancer: a case report

2009 ◽  
Vol 4 (1) ◽  
Author(s):  
Jane E Nardella ◽  
Dirk Van Raemdonck ◽  
Hubert Piessevaux ◽  
Pierre Deprez ◽  
Raphaël Droissart ◽  
...  
Keyword(s):  
Case Report ◽  
Life Threatening ◽  
Life Threatening Complication ◽  
Esophagectomy For Cancer
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