S1560 An Unusual Case of Gallstone Ileus 6 Years Post-Cholecystectomy

Kathawa, Jolian; Karana, Revanda; Piper, Marc S.

doi:10.14309/01.ajg.0000779772.88726.ac

Cited by 2 publications

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“…The current case demonstrated a 1.7 × 1.7 × 3.2 cm gallstone, weighing 8 grams, and obstructing 125 cm from the ileocecal valve. The clinical manifestations of GSI are classically non-specific, including abdominal pain, nausea, vomiting, and abdominal distension, delaying the diagnosis [9,10,13,14]. In the reported case, the patient presented with an acute confusional state in association with generalized abdominal pain and vomiting.…”

Section: Discussionmentioning

confidence: 86%

Gallstone Ileus in the Absence of Gallbladder, Rare Etiology of Bowel Obstruction: A Case Report and Literature Review

Alenezi¹,

Alenezi²,

Saleem³

et al. 2023

AJSCR

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Background: Gallstone ileus post-cholecystectomy is extremely rare surgical emergency causing mechanical bowel obstruction. This condition is usually misdiagnosed due to its non-specific clinical features. Radiological investigations are essential to evaluate and diagnose gallstone ileus cases. Case Presentation: A 92-year-old female patient, cholecystomized, presented to our hospital with a one-week history of an acute confusional state, generalized abdominal pain, and vomiting. The physical examination showed a disoriented patient with a distended abdomen and generalized tenderness, especially in the epigastric area. Hyperactive bowel sounds were audible. Laboratory investigations were non-specific. A plain abdominal X-ray was insignificant. The abdominal ultrasound showed marked abdominal gaseous distention. Then, an abdominal CT scan was performed, revealing an impression of gallstone ileus causing small bowel obstruction with no evidence of fistula formation. So, surgical intervention was decided, and an 8-gram gallstone was exteriorized through an enterolithotomy. The postoperative period was uneventful. Discussion: Gallstone ileus is an unusual entity that often affects elderly females. The clinical features of gallstone ileus include abdominal pain, abdominal distension, nausea, and vomiting. Diagnosis of gallstone ileus relies on imaging and physical examination. Abdominal CT with contrast provides a definitive diagnostic tool. The surgical options to manage the gallstone ileus can be either one or two-staged enterolithotomy. Conclusion: Due to the rare etiologic origin of the gallstone ileus in post-cholecystectomy cases, we report the case of a 92-year-old female with an acute confusional state and generalized abdominal pain, found to be caused by detected gallstone ileus, lacking evidence of fistula formation.

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Section: Discussionmentioning

confidence: 86%

Gallstone Ileus in the Absence of Gallbladder, Rare Etiology of Bowel Obstruction: A Case Report and Literature Review

Alenezi¹,

Alenezi²,

Saleem³

et al. 2023

AJSCR

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“…It is estimated there is a 7.3% increase in hospital admissions related to gallstone disease and its complications in New Zealand in the past 15 years 1 . Gallstone ileus is an uncommon complication of cholelithiasis and a more uncommon cause of small bowel obstruction, accounting for less than 1% of cases 2,3 …”

Section: Figmentioning

confidence: 99%

“…1 Gallstone ileus is an uncommon complication of cholelithiasis and a more uncommon cause of small bowel obstruction, accounting for less than 1% of cases. 2,3 We present an 89 years old female with 4 days of progressive abdominal distension, pain, nausea and vomiting, and obstipation. This is her first presentation of this nature.…”

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confidence: 99%

The great migration: a rare case of post‐cholecystectomy gallstone ileus

Wang

Goodwin

2022

ANZ Journal of Surgery

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S1560 An Unusual Case of Gallstone Ileus 6 Years Post-Cholecystectomy

Cited by 2 publications

References 0 publications

Gallstone Ileus in the Absence of Gallbladder, Rare Etiology of Bowel Obstruction: A Case Report and Literature Review

Gallstone Ileus in the Absence of Gallbladder, Rare Etiology of Bowel Obstruction: A Case Report and Literature Review

The great migration: a rare case of post‐cholecystectomy gallstone ileus

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