Sigmoid Gallstone Ileus

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A systematic review of gallstone sigmoid ileus management

Introduction Gallstone sigmoid ileus is a rare although serious complication of cholelithiasis resulting in large bowel obstruction. The condition accounts for 4% of all gallstone ileus patients. There are no recognized management guidelines currently. Management strategies range from minimally invasive endoscopy and lithotripsy to substantial surgery. We aim to identify trends when managing pa...

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A single centre case series of gallstone sigmoid ileus management

AIMS/INTRODUCTION Gallstone sigmoid ileus is a rare condition that presents with symptoms of large bowel obstruction secondary to a gallstone impacted within the sigmoid colon. This arises because of three primary factors: cholelithiasis causing a cholecystoenteric fistula; a gallstone large enough to obstruct the bowel lumen; and narrowing of the bowel. We describe 3 patients treated in a dist...

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Sigmoid gallstone ileus: a rare cause of large bowel obstruction.

DESCRIPTION A91-year-oldwoman presentedwith abdominal distension and pain. She had not vomited and opened her bowels only with scanty stool. On examination she was tachycardic with a distended abdomen with left-sided tenderness. On admission her C reactive protein was 77 mg/l, white cell count of 9.9×10l and normal liver function tests. Abdominal plain films revealed dilated large bowel. Subseq...

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Recurrent gallstone ileus.

We present the case of a recurrent gallstone ileus in a 76-year old female patient, which presented at our emergency department on January 15th 2015. In both episodes (January 16th and February 1st, 2015), only a simple enterotomy with stone extraction was performed. One year later, she is fully recovered and in good health. Recurrent gallstone ileus most often occurs in elderly patients with m...

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Recurrent gallstone ileus.

Mechanical small bowel obstructions caused by gallstones account for 1% to 3% of cases. In these patients, 80% to 90% of residual gallstones in these patients will pass through a remaining fistula without consequence. Recurrent gallstone ileus has been reported in 5% of patients. We report the case of a woman, aged 72 years, who presented with mechanical small bowel obstruction caused by gallst...

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ژورنال

عنوان ژورنال: Clinical Gastroenterology and Hepatology

سال: 2019

ISSN: 1542-3565

DOI: 10.1016/j.cgh.2019.01.031