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 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 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 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 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

scholarly journals A curious case of cololithiasis

2018 ◽  
Vol 100 (7) ◽  
pp. e188-e190 ◽  
Author(s):  
L Creedon ◽  
H Boyd-Carson ◽  
J Lund
Keyword(s):  
Abdominal Pain ◽  
Small Bowel ◽  
Bowel Obstruction ◽  
Bowel Preparation ◽  
Large Bowel ◽  
Gallstone Ileus ◽  
Expectant Management ◽  
Large Bowel Obstruction ◽  
Uneventful Recovery ◽  
Rectosigmoid Junction

Gallstone ileus is an uncommon cause of bowel obstruction that involves cholecystoenteric fistulation and resultant passage of gallstones into the bowel. In the vast majority of cases, the fistula forms between the gallbladder and duodenum leading to small bowel obstruction. We report a case of cholecystocolic fistulation and subsequent large-bowel obstruction in a 75-year-old woman who presented acutely after taking a bowel preparation for an outpatient colonoscopy during the course of an investigation of anaemia and nonspecific abdominal pain. Preintervention imaging revealed a giant gallstone at the rectosigmoid junction, in the presence of a cholecystocolic fistula, and subsequent large bowel obstruction. After a failed period of expectant management, laparotomy and Hartmann’s procedure were performed and the patient made an uneventful recovery.

EFFICACY OF UNCOVERED COLONIC STENTS FOR EXTRINSIC VERSUS INTRINSIC MALIGNANT LARGE BOWEL OBSTRUCTION

2020 ◽  
Author(s):  
BR Weston ◽  
JM Patel ◽  
M Pande ◽  
PJ Lum ◽  
WA Ross ◽  
...  
Keyword(s):  
Bowel Obstruction ◽  
Large Bowel ◽  
Large Bowel Obstruction ◽  
Colonic Stents
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