Gallstone ileus and jejunal perforation along with gangrenous bowel in a young patient: A case report
نویسندگان
چکیده
CONTEXT Gallstone ileus is an uncommon condition with potentially serious complications including perforation and gangrene of the small bowel. Its diagnosis is difficult and surgery remains the mainstay of treatment. Here we are reporting the complications of this condition along with brief review of literature. CASE REPORT We report a case of intestinal obstruction due to gallstone in the small gut which was diagnosed preoperatively on ultrasonography and confirmed on exploratory laparotomy. Postoperative period was uneventful. CONCLUSION Gallstone ileus is a rare cause of intestinal obstruction and it should be considered in patients who are suffering from gallstone disease and presenting with intestinal obstruction especially when no other obvious cause is seen.
منابع مشابه
Jejunal diverticular perforation due to gallstone ileus.
Gallstone ileus is an uncommon cause of small bowel obstruction, mainly affecting elderly patients. The most common cause is impaction of a stone in the ileum after passing through a biliary-enteric fistula (1). Jejunal perforation is a rare complication of gallstone ileus. We present a case of jejunal diverticular perforation secondary to gallstone ileus, produced by diverticulum wall necrosis...
متن کاملJejunal perforation in gallstone ileus – a case series
INTRODUCTION Gallstone ileus is an uncommon complication of cholelithiasis but an established cause of mechanical bowel obstruction in the elderly. Perforation of the small intestine proximal to the obstructing gallstone is rare, and only a handful of cases have been reported. We present two cases of perforation of the jejunum in gallstone ileus, and remarkably in one case, the gallstone ileus ...
متن کاملGallstone ileus and a three centimeters stone in terminal ileum: a case report
Abstract Gallstone ileus is a rare complication of cholelithiasis found in less than 0.5% of patients. It is an uncommon cause of small bowel obstruction, accounting for 1% to 3% of all mechanical bowel obstructions and over 25% of nonstrangulated bowel obstructions in patients older than 65 years with a female predominance. We report a 60-year-old woman who was referred to our hospit...
متن کاملPerforated Closed-Loop Obstruction Secondary to Gallstone Ileus of the Transverse Colon: A Rare Entity
Introduction. Gallstone ileus (GSI) of the colon is an extremely rare entity with potentially serious complications including perforation. Case Presentation. An 88-year-old man presented to the emergency department with abdominal pain and distension. Clinical exam revealed signs of peritonism. Computed tomography (CT) revealed GSI of the transverse colon with a closed-loop large bowel obstructi...
متن کاملBowel hath no fury like a gallbladder inflamed
Gallstone ileus is a well-established phenomenon in which a large gallstone leads to mechanical small bowel obstruction. This case, however, reports the novel finding of a patient presenting with suprapubic pain and guarding caused by paralytic ileus of the small bowel and a duodenal perforation secondary to a necrotic gallbladder. It highlights the importance of distinguishing between gallston...
متن کامل