Gallstone ileus diagnosis and treatment: six-year experience in three academic institutions

Aguirre-Olmedo, Itzé; Castillo, Santiago Rea-Alvarez del; Nuño-Guzmán, Carlos M.; Briceño-Fuentes, Alberto; García-González, Román; Torres-Gonzalez, Moises; Ferrari-Ulloa, Felipe; Juárez-González, Rebecca

doi:10.15406/ghoa.2021.12.00478

Cited by 1 publication

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References 26 publications

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“…Clavien et al reported the size of gallstone obstruction from 2 to 5 cm. [3][4][5] Diagnosis can be challenging due to several factors: the intermittency of symptoms, the fact that signs and symptoms are nonspecific, the advanced age of the patients and their concomitant diseases. 4 In our case, we had an atypical presentation as it was a woman younger than usual, as well as the finding of a larger stone than the average reported in the literature.…”

Section: Discussionmentioning

confidence: 99%

Gallstone ileus an uncommon cause of bowel obstruction

Arreola

Herrera

2022

Int J Res Med Sci

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Gallstone ileus is caused by the impaction of one or more gallstones within the gastrointestinal tract leading to mechanical obstruction. Thomas Bartholin described the first case in 1654 during an autopsy. This manuscript describes a case of gallstone ileus in a 39-year-old woman who presented data of intestinal occlusion and hemodynamic instability, being managed with intestinal resection for a 7 cm stone and entero-entero anastomosis, achieving an adequate post-surgical evolution. It is a rare complication of cholelithiasis and is found in 2 to 3% of all cases associated with recurrent episodes of cholecystitis, it occurs predominantly in women. In elderly patients (>65 years) it accounts for 25% of all cases of small bowel obstruction and carries a fivefold increased risk of morbidity (20 to 57%) compared to other causes of small bowel obstruction.

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