Laparoscopic Treatment of Gallstone Ileus

Bircan, Hüseyin Yüce; Koç, Bora; Ozcelik, Umit; Kemik, Özgür; Demi̇rağ, A

doi:10.4137/ccrep.s16512

Cited by 19 publications

(21 citation statements)

References 9 publications

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“…The most common sites of impaction are represented by the terminal ileum, the ileocaecal valve, and more rarely the jejunum, duodenum, stomach, and in 4% of patients, the colon [2] . Clinically, it can present with the triad of Rigler [2] , [3] , [4] , [5] : pneumobilia, dilated small bowel with paucity of air in the large bowel, and opacity in the right iliac fossa.…”

Section: Discussionmentioning

confidence: 99%

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RETRACTED: Gallstone ileus without bilioenteric fistula years after bypass surgery for Crohn's disease. Case report and clues to etiology of a neglected cause of obstruction

Pellinoa

Candilio

Fatico

et al. 2015

International Journal of Surgery Case Reports

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Section: Discussionmentioning

confidence: 99%

“…The surgical approach is still variable depending on the characteristics of the patient and the underlying disease, and based on the judgment of the surgeon. When possible, the laparoscopic approach is feasible [4] . Our patient needed laparotomy due to the complexity of the disease.…”

Section: Discussionmentioning

confidence: 99%

RETRACTED: Gallstone ileus without bilioenteric fistula years after bypass surgery for Crohn's disease. Case report and clues to etiology of a neglected cause of obstruction

Pellinoa

Candilio

Fatico

et al. 2015

International Journal of Surgery Case Reports

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“…Extracorporeal shock wave lithotripsy (ESWL) for stone fragmentation in gallstone ileus is rarely used because of its highly costs (20). Although laparoscopy has limitations in a situation of a gallstone ileus and conversion to laparotomy is frequent, experienced surgeons can perform enterolithotomy or disimpaction of the gallstone and address to biliary pole at the same time (21)(22)(23).…”

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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“… 17 Laparoscopic procedures can be an alternative method, although a surgeon with specialist experience in advanced laparoscopic surgery would be necessary. 18 19 20 The endoscopic treatment of gallstone ileus is a valid alternative approach and some cases have already been reported. 21 22 Ultrasound-guided extracorporeal shock wave lithotripsy (ESWL) has also been suggested as a non-invasive alternative to surgery to fragment the stone and solve the sub-occlusion.…”

Section: Discussionmentioning

confidence: 99%

Gallstone ileus inducing obstructive jaundice at the afferent loop of Roux-en-Y hepaticojejunostomy after bile duct cancer surgery: a case report

Lee

Hwang

Joo

et al. 2015

Korean J Hepatobiliary Pancreat Surg

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The diagnosis of gallstone ileus is occasionally challenging due to the variability of its presentation. We herein present a very rare case of gallstone ileus inducing obstructive jaundice at the afferent loop of Roux-en-Y hepaticojejunostomy after 10 years of bile duct cancer surgery. We describe the case of a 74-year-old Korean woman with obstructive jaundice, treated conservatively. She showed severely impaired liver function test and obstructive jaundice. The computed tomography (CT) scan led to a diagnosis of very rare type of gallstones ileus at the afferent jejunal loop. Since the clinical manifestation was improved, we decided to observe her closely. On the next follow-up CT scan, the gallstone disappeared with mild distension of the afferent bowel loop, implicating spontaneous passage of the gallstone. She recovered and returned to normal life after 10 days of initiation of clinical manifestations. We presume that the gallstone may enter the afferent jejunal loop through the hepaticojejunostomy and later increase in size. The presence of narrow tract of intestine may facilitate the incidence of gallstone ileus. It appears to be the first report on this rare type of gallstone ileus inducing obstructive jaundice.

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Laparoscopic Treatment of Gallstone Ileus

Cited by 19 publications

References 9 publications

RETRACTED: Gallstone ileus without bilioenteric fistula years after bypass surgery for Crohn's disease. Case report and clues to etiology of a neglected cause of obstruction

RETRACTED: Gallstone ileus without bilioenteric fistula years after bypass surgery for Crohn's disease. Case report and clues to etiology of a neglected cause of obstruction

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

Gallstone ileus inducing obstructive jaundice at the afferent loop of Roux-en-Y hepaticojejunostomy after bile duct cancer surgery: a case report

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