Gallstone Ileus: A Case Report and Our Clinic’s Experience

Abstract

We present a 72-year-old female patient complaining of pain and distention of the abdomen, nausea and vomiting. No history of previous abdominal surgery, hernias or biliary disease was present. Plain abdominal x-rays showed small bowel obstruction. This mechanical obstruction of the gastrointestinal truct was caused by a gallstone in the terminal ileum.

Karewsky syndrome: A case report and review of the literature

“…Also, imaging tests reveal signs that are not easily seen by the inexperienced eye [8–10] . Furthermore, plain abdominal films have a diagnostic sensibility of 40–70% [11] , with Rigler’s triad presents in 40–50% of patients [8,1,12] , although, it could be less [13,14] .…”

“…Gallstone ileus (GSI) is a clinical entity of mechanical bowel obstruction [1–4] . The most frequent mechanism by which this occurs is by migration of a gallstone through a cholecystoduodenal fistula that gets impacted in the distal ileum lumen [3] .…”

“…GSI has a female:male ratio of 3.5–6:1, affecting older patients predominantly [1,3] as it represents 4% of all bowel obstruction in patients under 65 years-old and approximately 25% in patients over 65 [5,6] . With regards to the general population, GSI represents 0.3–0.5% of all gallstone complications with 35 per million hospital admissions [2,7] .…”

Bouveret Syndrome: A Rare Case of Gallstone Ileus Further Complicated by Stone Migration

“…Although rare, the great clinical importance of Bouveret syndrome is related to its high mortality rate of up to 27% and furthermore by the fact that morbidity can reach 50% in patients of advanced age and comorbid states or when there is delayed intervention [ 3 ]. In addition to its rarity, the clinical challenge of detecting and diagnosing Bouveret syndrome also lies in its vague presentation.…”

Gallstone ileus with evident forchet sign:case report

“…Ileus is a clinical entity that is frequently encountered in our daily surgical practice due to many different causes. Gallstone is a rare cause of ileus which causes mechanical bowel obstruction [2]. Gallstone ileus is usually seen in elderly patients [3], the rate of ileus in the etiology is found as 1–4% [4,5] Female / male ratio is 3.5-6: 1; it is seen…”