Stone in the distal jejunum presenting as small bowel obstruction: A case report

Abstract

HighlightsGallstone impaction in the distal jejunum is rare.Pre-operative diagnosis is a challenge as findings remain equivocal on imaging studies.One or two stage procedure can be performed to alleviate obstruction.

¿Qué tan correcta es la colecistectomía pospuesta durante el proceso pandémico de COVID-19? El íleo biliar ya no es un mito

“…Classical Rigler's triad consisting of pneumobilia, intestinal obstruction, and ectopic gallstones are seen in 40-70% of patients. In our case, the Rigler's triad was detected in the preoperative evaluations [10][11][12] .…”

“…Gallstone ileus accounts for 1-4% of all cases of mechanical intestinal obstruction, but for up to 25% of those in patients over 65 years. The frequency increases in women and especially over the age of 70 years 10,11 .…”

“…The diagnosis of gallstone ileus is made perioperatively in 50% of patients 10 . Classical Rigler's triad consisting of pneumobilia, intestinal obstruction, and ectopic gallstones are seen in 40-70% of patients.…”

A Rare Case of Cholecystoduodenal Fistula Complicated With Gallstone Ileus and Upper Gastrointestinal Bleeding

“…The most common fistulas are cholecystoduodenal, and other types of biliary-enteric fistulas including cholecystocolic and cholecystogastric fistulas have also been reported. The most common site of obstruction is at the ileocecal valve, especially when the stone size is > 2.5 cm, suggesting a possible role of nasogastric decompression and fluid resuscitation in the management of gallstone ileus [ 3 ]. Prophylactic cholecystectomy is usually recommended in cases of large stones (>2.5 cm).…”