Gallstone Ileus in an Older Nursing Home Resident

Mak, Lung‐Yi; Chan, TM; Chan, Felix Hon-Wai; Liu, Sze-Hang

doi:10.1111/jgs.13965

Cited by 1 publication

(1 citation statement)

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“…The vast majority of patients with biliary ileus are women with an average age of 68-70 who often have concomitant medical illnesses (8). Gallstone ileus is rare representing less than 0.5 percent among the mechanical causes of obstructions for the small bowel and only 0,095% considering all mechanical bowel obstructions (9).…”

Section: Discussionmentioning

confidence: 99%

Gallstone ileus - the double challenge: case report and review of the literature

Banu¹,

Constantin²,

Popa³

et al. 2016

J Clin Invest Surg.

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Gallstone ileus is a rare condition which occurs as an evolutive complication of biliary lithiasis. It occurs after stone migration from extrahepatic biliary tree to the digestive lumen, mostly through a biliary-enteric fistula. This condition involves repeated inflammatory relapses with the formation of local adhesions and generally requires a long evolution. The vast majority of patients with biliary ileus are third aged women who often have concomitant medical illnesses.Gallstone ileus surgery deals with the two components: bowel obstruction and biliary pole. Obstruction solving is approached as a surgical emergency and it requires an attitude adapted to the local situation. The attitude towards biliary surgery for gallstone ileus is a matter in debate. It could be one-stage surgery, elective surgery or expectancy and its choice is imposed by both local and general condition of the patient.We report the case of a middle-age woman whose first symptom of cholelithiasis was the gallstone ileus. Plain upright abdominal radiography revealed air-fluid levels with distended loops of the small bowel and pneumobilia.Laparotomy was decided and exploration revealed an impacted gallstone into the ileum and dense adhesions were found under the liver region. Enterolithotomy for gallstone removal was made. Postoperative evolution was uneventful with discharge on 7th day. Acne conglobata is a rare, severe form of acne vulgaris characterized by the presence of comedones, papules, pustules, nodules and sometimes hematic or meliceric crusts, located on the face, trunk, neck, arms and buttocks.Petrişor Banu et al. 16

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Section: Discussionmentioning

confidence: 99%