Laparoscopic Enterolithotomy Is a Valid Option to Treat Gallstone Ileus

Abstract

This report describes a case of gallstone ileus managed with a totally laparoscopic approach.

Laparoscopic management for gallstone ileus, case report

“…Owera et al described the use of nylon tape proximal to the site of enterotomy [ 8 ]. Shiwani used atraumatic clamps [ 11 ]. In our patient, we preferred to do enterolithotomy only due to extensive adhesions in the right upper quadrant.…”

Comparative analysis of MDCT and MRI in diagnosing chronic gallstone perforation and ileus

“…In additional, MDCT could present the exact location of ectopic gallstone and the extent of SBO, also visualize other signs of the cholecystitis and pericholecystitis, gallbladder atrophy or augmentation with or without gallstone, edema and thickening of the gallbladder wall and the abnormality of intestine nearby. Evidently, MDCT was a rapid noninvasive technology in preoperatively diagnosing GSI with a sensitivity of 93%, 100% specificity and 99% accuracy [6], which could speed the early diagnosis and prompt treatment making, and reduce the morbidity and mortality of GSI [10][11][12][13][14]. In our study, it was also showed that MDCT could precisely visualize the extent of intestinal obstruction (100%), pneumobilia (100%) and location of the ectopic stone (88.5% (23/26)) respectively.…”

Gallstone ileus displaying the typical Rigler triad and an occult second ectopic stone

“…The debate over which surgical procedure should be undertaken has lasted for years due to the low incidence of this disease. [ 1 , 8 – 10 ] The primary conflicts involve the decision whether to perform cholecystoenteric fistula repair during the initial procedure. [ 8 , 9 ] A review of 1001 cases concluded that simple enterolithotomy was both safe and effective in managing a patient with gallstone ileus.…”