Unusual Complications of Gallstones

Luu, Minh B.; Deziel, Daniel J.

doi:10.1016/j.suc.2014.01.002

Cited by 59 publications

(46 citation statements)

References 70 publications

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“…Gallstone ileus was first described in 16541 and is thought to be the underlying aetiology of approximately 1% of all bowel obstructions, though elderly, female patients are disproportionately affected 1–3. Multiple reviews of this disease have shown a marked improvement in outcomes over the 20th century, with mortality rates falling from over 40% in the 1890s, to 6% in the modern era 1 4 5.…”

Section: Discussionmentioning

confidence: 99%

“…Multiple reviews of this disease have shown a marked improvement in outcomes over the 20th century, with mortality rates falling from over 40% in the 1890s, to 6% in the modern era 1 4 5. The historic description of gallstone ileus is that of an elderly patient with a history of biliary-type symptoms and obstruction in the distal small bowel at the narrowing of the terminal ileum.…”

Section: Discussionmentioning

confidence: 99%

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Gallstone ileus obstructing within an incarcerated lumbar hernia: an unusual presentation of a rare diagnosis

et al. 2014

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SUMMARYWe describe an unusual case of a 74-year-old woman who presented with signs and symptoms of small-bowel obstruction and a clinically appreciable, irreducible, leftsided lumbar hernia associated with previous iliac crest bone graft harvesting. Palpation of the hernia demonstrated a small, firm mass within the loops of herniated bowel. CT scanning recognised an intraluminal gallstone at the transition point, establishing the diagnosis of gallstone ileus within an incarcerated lumbar hernia. The proposed explanatory mechanism is that of a gallstone migrating into an easily reducible hernia containing small bowel causing obstruction at the hernia neck by a ball-valve mechanism, resulting in proximal bowel dilation and thus hernia incarceration; it remains unclear when the stone entered the hernia, and whether it enlarged in situ or prior to entering the enteral tract. This is only the second reported instance in the literature of an intraluminal gallstone causing hernia incarceration. BACKGROUND

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Gallstone ileus obstructing within an incarcerated lumbar hernia: an unusual presentation of a rare diagnosis

et al. 2014

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“…Аэробилия, небольшой атрофически измененный ЖП, плотно прилегаю-щий к соседним органам, а также спонтанное купи-рование механической желтухи в анамнезе у паци-ентов пожилого возраста могут указывать на нали-чие билиодигестивного свища [5]. До операции диа-гноз устанавливается менее чем в 50% наблюдений.…”

Section: клинические наблюденияunclassified

Laparoscopic management of cholecystoduodenal fistula

Михин¹,

Vorobiev²,

Доронин³

et al. 2016

Endosk. khir.

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“…These complications are being encountered in 1% to 2% of patients with symptomatic cholelithiasis according to some recent series (2,3). However, in underdeveloped countries, Mirizzi's syndrome is a more common condition with reported incidence ranging from 4.7% to 5.7% (4,5).…”

Section: Introductionmentioning

confidence: 99%

Divided Laparoscopic Cholecystectomy for Unusual Gall Stones Complication of Mirizzi’s Syndrome

Lasheen¹,

Baioumy²,

Morsy³

et al. 2015

J Minim Invasive Surg Sci

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Background: Chronic complications of symptomatic gallstone disease such as Mirizzi's syndrome are rare. The importance and implications of these conditions are related to their associated surgical complications which are potentially serious such as bile duct injury and to the modern management when encountered during laparoscopic cholecystectomy. Objectives: This research offers a technique to avoid surgical complications in Mirizzi's syndrome cases during laparoscopic cholecystectomy. Patients and Methods: Between November 2012 and February 2015, 17 patients (12 females and 5 males) with mean age of 51 years (between 29 and 57 years) suffering from Mirizzi's syndrome underwent the divided cholecystectomy. In this technique the gall bladder was divided into two parts above the gall bladder infundibulum. The distal part was dissected for short distance and used to push liver up. The proximal part of gall bladder was cleared from all its contents and reevaluated from inside. Management was achieved according to the stage of disease. Results: The mean operative time was 70 minutes (between 60 and 90 minutes). No biliary tract obstruction or leakage or stenosis was recorded in this patient group during the period of follow up (18 months). Conclusions: Divided laparoscopic cholecystectomy is a safe and effective technique to face the unusual gallstones complications (Mirizzi's syndrome).

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Unusual Complications of Gallstones

Cited by 59 publications

References 70 publications

Gallstone ileus obstructing within an incarcerated lumbar hernia: an unusual presentation of a rare diagnosis

Gallstone ileus obstructing within an incarcerated lumbar hernia: an unusual presentation of a rare diagnosis

Laparoscopic management of cholecystoduodenal fistula

Divided Laparoscopic Cholecystectomy for Unusual Gall Stones Complication of Mirizzi’s Syndrome

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