Gallstone ileus – An atypical presentation and unusual location

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An Unusual Presentation of Gallstone Ileus: A Red-Herring or Missed Diagnosis

BACKGROUND Gallstone ileus is a rare complication of chronic calcular cholecystitis and an uncommon etiological entity responsible for mechanical intestinal obstruction. The most common obstructed part is the narrow terminal ileum, whereas the jejunum is rarely affected. The gallstone is postulated to reach the small bowel by gradual erosion from the gall bladder, most commonly into the duodenu...

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An unusual cause of abdominal pain: gallstone ileus.

A 74-year-old Taiwanese woman with diabetes mellitus came to the emergency department with a 1-week period of diffuse abdominal pain. She had been followed for asymptomatic gallstone (Figure 1A). Physical examination showed diffuse tenderness of abdomen and plain film of abdomen revealed intestinal obstruction (Figure 1B). Total serum bilirubin was 0.6mg/dl, glutamate oxaloacetate transaminase ...

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Gallstone Ileus: Clinical Presentation of a Benign Mechanical Intestinal Obstruction

Gallstone ileus is a rare cause of small bowel obstruction which usually presents in elderly female patients and which has been associated with high morbidity and mortality rates. We present the case of a 63-year-old man who presented at our institution with symptoms of bowel obstruction. Abdominal X-ray and exploratory laparotomy revealed a large gallstone in the terminal ileus.

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ژورنال

عنوان ژورنال: International Journal of Surgery

سال: 2008

ISSN: 1743-9191

DOI: 10.1016/j.ijsu.2007.02.004