Gallstone ileus: An overview of the literature

Ploneda-Valencia, C.F.; Gallo-Morales, Mariana; Rinchon, Cricia; Navarro-Muñíz, Eliseo; Bautista-López, Carlos Alfredo; Cerda-Trujillo, Liliana Faviola De la; Rea-Azpeitia, L.A.; López-Lizárraga, C.R.

doi:10.1016/j.rgmxen.2017.05.001

Cited by 64 publications

(151 citation statements)

References 33 publications

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“…5 Gallstone ileus more commonly found at 65 years rather than under 50. 3,6 Gallstone ileus in the young patient was reported by Chatterjee (2008). 7 The youngest those reported was 13 years old while the oldest was 91 years old.…”

Section: Discussionmentioning

confidence: 91%

“…These two cases are the first gallstone cases reported at Cipto Mangunkusumo General Hospital as the tertiary academic hospital at Jakarta, Indonesia in the last 20 years; in accordance with the literature reporting that gallstone ileus referred to a rare case. [1][2][3][4] Both cases were in young adults although the incidence of gallstone ileus in female is 3-5 times to male. 5 Gallstone ileus more commonly found at 65 years rather than under 50.…”

Section: Discussionmentioning

confidence: 99%

“…Another consideration in choosing one-stage procedure than the twostage procedure is poor perioperative condition and prolonged surgery. 3,17 Bileo-enteric fistula repair was not performed in both cases as it will slowly closed leaving the fibrous tissue. 17 In both cases, no bileenteric fistula had any clinical problem.…”

Section: Discussionmentioning

confidence: 99%

“…The incidence is 1-4% of all ileus cases. [1][2][3][4] It presents as mechanical bowel obstruction caused by a gallstone, which passes through the bileenteric fistula and is trapped in the digestive tract between the stomach and rectum. Ileus presents because the gallstone obstructs the Bauhini valve.…”

Section: Introductionmentioning

confidence: 99%

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Gallstone Ileus in Cipto Mangunkusumo General Hospital, Jakarta: A Case Series

Lalisang

Hehuwat

Lalisang

et al. 2019

NRJS

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Introduction. Gallstone ileus is an uncommon mechanical bowel obstruction caused by a gallstone in the gastrointestinal tract which enters due to bile-enteric fistulae. This study aims to describe gallstone ileus and its management. Method. Data were retrospectively collected from medical records. Clinical manifestations, laboratory data, supporting radiographic examinations, treatment, postoperative care, and outcomes were collected. Results. We report two gallstone ileus cases at Cipto Mangunkusumo General Hospital, Jakarta which admitted in the last 20 years. The first case was a woman 33 years in 2002 and the second was man 45 years in 2017. Ileus was the main clinical symptoms. Gallstone ileus was diagnosed with preoperatively based on clinical and radiology findings. Laparotomy was performed and ileostomy for stones evacuation and cholecystectomy were performed without bile-enteric fistula repair. Large black stones were found at terminal ileum which made the obstruction. Conclusion. Gallstone ileus was an uncommon disease which can be treated and has a good prognosis. Plain abdominal x-ray has an important role in diagnosis and treatment approach.

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Section: Discussionmentioning

confidence: 91%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Gallstone Ileus in Cipto Mangunkusumo General Hospital, Jakarta: A Case Series

Lalisang

Hehuwat

Lalisang

et al. 2019

NRJS

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“…Large stones, greater than 2.5 cm in diameter, are thought to predispose to fistula formation by gradual erosion through the gallbladder fundus. Sixty percent are cholecystoduodenal fistulas, but cholecystocolonic and cholecystogastric fistulas can also result in gallstone ileus [4,5]. Common places for gallstones include the ileum and ileocecal valve due to the anatomical narrow lumen in 60% of cases, jejunum in up to 16%, stomach in 15%, and colon (gallstone coleus) in 2-8% of cases [6,7].…”

Section: Discussionmentioning

confidence: 99%

Gallstone Ileus: An Uncommon Cause of Acute Abdomen

Saouab¹

2019

IJMI

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Gallstone ileus is a rare cause of acute abdomen, representing less than 1% of intestinal obstruction. It is due to mechanical small bowel obstruction (SBO) by a migrated gallstone. we report this observation to illustrate the imaging findings especially in CT scan. A 62-year-old woman was admitted to emergency for acute bowel obstruction. The CT scan has confirmed jejunal bowel distension with fluid levels upstream endoluminal formation which was rounded and well limited, measuring 5 cm of long axis. This training was slightly hyperdense with hypodense areas of fat density. Moreover, there was aerobilia with multiple fistulas between the duodenum (D1) and gallbladder, which was empty. The triad of aerobilia, small bowel obstruction and migrant gallstone was suggestive of gallstone ileus diagnosis. The patient was operated with good evolution. Gallstone ileus is an uncommon presentation of gallstone disease. It is frequently observed in elderly patients with a history of cholelithiasis or cholecystitis. Early diagnosis is crucial and would avoid morbidity and mortality related to this disease. CT scan shows the classical triad of Rigler with pneumobilia, an ectopic stone and mechanical ileus. CT may improve the diagnosis providing important information regarding the exact number, size, and location of ectopic stones and the site of intestinal obstruction or direct visualization of a biliary-enteric fistula, to help clinicians in the therapeutic management of patients.

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