Small Bowel Obstruction due to Gallstones ( Gallstone ileus )
نویسندگان
چکیده
Gallstone ileus was first described by Bartholine in 1654, as mechanical intraluminal obstruction, caused by impaction of gallstone in the bowel lumen. The disease occurs more frequently in women than in men, in a ratio of 6:1. And mostly affecting ages over 65 years. Spontaneous biliary enteric fistula was found in 0.9% of patients undergoing biliary tract procedures. In fact, most spontaneous fistulas result from complication of gallstone disease. Biliary enteric fistulas occur in about 1% of patients with acute cholecystitis. Chronic inflammation of gallbladder may follow acute cholecystitis, but usually developed insidiously. The most common communication of the fistula is between gallbladder and duodenum, followed by colon and stomach.
منابع مشابه
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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Gallstones ileus is an uncommon cause but important cause of small bowel obstruction. The gallstone enters the intestinal lumen via a fistula located in the duodenum (cholecystoduodenal), or rarely, in the colon (cholecystocolonic) or stomach (cholecystogastric). This may result in large bowel or gastric outlet obstruction (Bouveret's Syndrome). Gallstone ileus affects the elderly females pre-d...
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Gallstone ileus is an uncommon cause of small bowel obstruction which occurs in patients with chronic cholecystitis and gallstones who develop a cholecystoenteric fistula. Although gallstone ileus is relatively rare, it has a substantial mortality rate due in part to patient comorbidities and delays in treatment. We describe the case of a 94-year-old woman who presented with nausea, vomiting, m...
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BACKGROUND Gallstone ileus is a complication of acute cholecystitis that accounts for 25% of bowel obstruction cases in the elderly. To our knowledge, only one other case of gallstone ileus presenting as intussusception has been reported in the literature, and involved non-operative management with an unfavorable outcome. CASE PRESENTATION Here we report the case of 69year old woman presentin...
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