Jejunal diverticular perforation due to gallstone ileus

Martín-Pérez, Jesica; Bravo‐Gutiérrez, Alberto; Delgado‐Plasencia, Luciano; Hernández-León, Carmen Nieves; Medina-Arana, Vicente

doi:10.4321/s1130-01082012000900015

Cited by 5 publications

(3 citation statements)

References 4 publications

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“…Gallstone ileus with proximal small bowel perforation is very rare [6]. In particular, there have been very few reports of gallstone ileus complicated by jejunal perforation [6,7]. Perforation can occur at the site of impaction or previous sites of obstruction due to pressure necrosis of the jejunal wall due to the gallstone.…”

Section: Discussionmentioning

confidence: 99%

Gallstone Ileus with associated perforated small bowel diverticulitis

Mehrotra¹,

Huang²,

Knittel³

et al. 2021

Arch Case Rep

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Section: Discussionmentioning

confidence: 99%

Gallstone Ileus with associated perforated small bowel diverticulitis

Mehrotra¹,

Huang²,

Knittel³

et al. 2021

Arch Case Rep

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“…Finally, such high pressure can result in bowel ischemic necrosis or perforation, especially in patients with jejunal diverticula. [7][8][9] Our patient had rapidly progressed within 1 day to having acute abdominal pain, total bowel obstruction, and rapidly elevated intraluminal pressure compromising the perfusion of bowel to several patches of wall necrosis. The reason for such rapidly progressing disease was associated with his underlying cardiovascular disease and a huge stone in the small lumen.…”

Section: Discussionmentioning

confidence: 99%

“…The perforated site can be located in the jejunum, ileum, or sigmoid. [6][7][8][9][10][11][12][13][14][15] The possible mechanism is that mucosal ulcer with bowel perforation can develop after direct high-pressure compression by an impacted stone. The impacted stone also can cause severe bowel obstruction, leading to high intraluminal pressure in the jejunum.…”

Section: Discussionmentioning

confidence: 99%

Gallstone Ileus With Jejunum Perforation Managed With Laparoscopic-Assisted Surgery: Rare Case Report and Minimal Invasive Management

Lee

Yin

Chen

2015

International Surgery

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Gallstone ileus is an uncommon complication of cholelithiasis. Most patients affected by gallstone ileus are elderly and have multiple comorbidities. Symptoms are vague and insidious, which may delay the correct diagnosis for days. Here we are reporting an uncommon complication of gallstone ileus. We report on a 70-year-old man with small bowel obstruction at the jejunum due to an impacted stone, which led to necrosis and perforation of the proximal bowel wall. Laparoscope-assisted small bowel resection with enterolithotomy was used to successfully treat the patient's perforation and obstruction. His recovery was uneventful. Gallstone ileus commonly presents with bowel obstruction, but intestinal perforation occurs very rarely. A laparoscopic approach can provide both diagnostic and therapeutic roles in management.Key words: Gallstone ileus -Jejunal perforation -Laparoscopic surgery -Intestinal obstruction G allstone ileus is characterized by intestinal obstruction due to intraluminal impaction of one or more gallstones. It is an uncommon but serious complication of cholelithiasis and accounts for 1% to 3% of cases of patients who undergo surgery for bowel obstruction.1,2 A cholecystoduodenal fistula is the most common tract. 3 Most patients are elderly and female, and the average age range is 65 to 75 years. In spite of treatment, the mortality rate ranges from 10% to 20%. 4,5 Gallstone ileus with proximal small bowel perforation is rare, and fewer than 10 cases have been

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