Gallstone ileus: An unusual cause of intestinal obstruction

Bouziane, Mohamed; Bouknani, Nawal; Kassimi, Mariam; Habi, Jihane; Guerroum, Hind; Mahi, M.

doi:10.1016/j.radcr.2021.10.016

Cited by 5 publications

(13 citation statements)

References 7 publications

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“…Gallstone ileus requires surgical removal of the gallstone to relieve bowel obstruction. The three common surgical approaches include enterolithotomy alone, enterolithotomy combined with cholecystectomy and fistula closure (one-step surgery), and enterolithotomy followed by delayed cholecystectomy with fistula closure, usually 4-6 weeks later (two-step surgery) [ 11 , 12 ]. Enterolithotomy alone is often used because of its lower complication rates and shorter hospital stays [ 11 , 13 ].…”

Section: Discussionmentioning

confidence: 99%

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Gallstone Ileus Caused by Migration of Gallstone Through Cholecystoduodenal Fistula Resulting in Small Bowel Obstruction

Chauhan¹,

Zackria²,

Trad³

et al. 2023

Cureus

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Gallstone ileus is a rare condition characterized by mechanical obstruction of the intestine due to gallstone impaction. Diagnosis is based on clinical history, symptoms, and characteristic Computed Tomography (CT) scan findings. Treatment typically involves surgical extraction of gallstones, with laparoscopy as an effective and potentially safer approach. Here, we describe a case of an 84-year-old woman with gallstone ileus presenting with small bowel obstruction.

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Section: Discussionmentioning

confidence: 99%

“…One-step surgery reduces the risk of recurrence and other complications but has higher mortality and morbidity rates. Two-step surgery may increase the risk of complications while awaiting cholecystectomy and fistula repair [ 11 , 12 ]. Gallstone ileus is usually treated with laparotomy, but it has high morbidity and mortality rates.…”

Section: Discussionmentioning

confidence: 99%

Gallstone Ileus Caused by Migration of Gallstone Through Cholecystoduodenal Fistula Resulting in Small Bowel Obstruction

Chauhan¹,

Zackria²,

Trad³

et al. 2023

Cureus

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“…El IB representa el 0,3-0,5 % de las complicaciones de la colelitiasis [5,9,12,13] , con una relación 3/100000 hospitalizaciones por patología bilia r [2,3] . Es más frecuente en mujeres [3,5-3,6:1] , y los pacientes suelen ser mayores de 65 años [2][3][4]8,10,14] (promedio de 74 años) [5] ; y con múltiples comorbilidades [2] .…”

Section: Discussionunclassified

“…La presión entre los cálculos biliares y la pared de la VB provoca necrosis, erosión y formación de fístulas entre la VB y la porción más cercana del tracto gastrointestinal, usualmente el duodeno [5,8,9] . A través de esta fístula, los cálculos biliares pueden ingresar al tracto gastrointestinal, teniendo en cuenta que para producir una obstrucción mecánica deberían ser mayores a 2,5 cm [12] .…”

Section: Discussionunclassified

“…Al momento, no existe una definición o consenso sobre cuál es la mejor opción para el tratamiento del IB, lo que debe evaluarse caso por caso, según cada paciente [19] . En nuestro caso, por las condiciones clínicas del paciente, comorbilidades y hallazgos intraoperatorios, se decidió realizar una cirugía en dos tiempos (enterolitotomía) [3,4,6,7,9,10,12] , dejando la colecistectomía y cierre de fístula para un segundo momento.…”

Section: Discussionunclassified

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Obstrucción intestinal por íleo biliar: reporte de un caso

Vera-Portilla

Ruiz

Portilla³

et al. 2022

Acta Med Peru

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El íleo biliar (IB) se define como la obstrucción intestinal mecánica intraluminal por uno o más cálculos biliares que han emigrado a través de una fístula biliodigestiva, establecida como complicación de una colelitiasis. Presentamos el caso de una mujer de 59 años con antecedente de hipertensión arterial, con diagnóstico tomográfico preoperatorio de obstrucción intestinal por íleo biliar (triada de Rigler), por lo que es intervenida quirúrgicamente de emergencia, decidiéndose realizar una enterolitotomía y programar su segunda intervención en dos meses. El IB es una causa infrecuente de obstrucción intestinal en pacientes de edad avanzada, con una elevada morbi-mortalidad. Requiere un alto índice de sospecha ante un cuadro de oclusión intestinal intermitente y antecedente de cólicos biliares. La triada de Rigler solo está presente en un tercio de los pacientes, para lo cual la tomografía es el estudio de elección. El tratamiento es controversial, pero el más empleado es la enterolitotomía.

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Bouveret's syndrome: A rare case of gallstone causing gastric outlet obstruction

Sabir,

Mushtaq,

Arshad

et al. 2024

Clinical Case Reports

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Key Clinical MessageThe case highlights the importance of decisive action in addressing large gallstones causing gastric outlet obstruction. The chosen single‐stage surgical approach reflects the need to manage both obstruction and the gallstone simultaneously.AbstractBouveret's syndrome is a rare cause of gastric outlet obstruction secondary to gallstones entering the enteric system through an acquired cholecystoduodenal fistula. Here, we present the case of an 85‐year‐old female who presented to our emergency department with gastric outlet obstruction secondary to a large gallstone in the third part of the duodenum. Abdominal X‐ray did not demonstrate air‐fluid levels but revealed a dilated gastric shadow, suggesting gastric outlet obstruction. EGD showed a dilated stomach and a hard, golf ball‐sized gallstone in the duodenum. CT scan showed a distended stomach with a large gallstone obstructing the DJ junction and air in the biliary tree. Findings were suggestive of perforation of the gallbladder with stone impaction in the duodenojejunal (DJ) junction. The patient was managed surgically with a one‐stage procedure comprising enterotomy, fistula closure, and cholecystectomy. Although Bouveret's syndrome is rare, it is important for practicing surgeons to have a high index of suspicion for this condition due to the high mortality associated with it.

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Gallstone ileus: An unusual cause of intestinal obstruction

Cited by 5 publications

References 7 publications

Gallstone Ileus Caused by Migration of Gallstone Through Cholecystoduodenal Fistula Resulting in Small Bowel Obstruction

Gallstone Ileus Caused by Migration of Gallstone Through Cholecystoduodenal Fistula Resulting in Small Bowel Obstruction

Obstrucción intestinal por íleo biliar: reporte de un caso

Bouveret's syndrome: A rare case of gallstone causing gastric outlet obstruction

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