DESCRIPTION A 92-year-old lady presented to the emergency department with a 2-day history of generalised colicky abdominal pain, diarrhoea and vomiting. Her medical history included gallstones and a right hemicolectomy for a benign caecal neoplasm in 2008. Abdominal palpation revealed suprapubic tenderness with no peritonism. Initial investigations included a white cell count of 12.5×10/l, C-re...

Gallstone ileus is usually seen in conjuction with a cholecystoduodenal fistula but may also be associated with cholecystogastric or cholecystocolic fistulae (Andersson and Zederfeldt, 1969; Wakefield, Vickers and Walters, 1939). However, a double communication between the gallbladder and both the duodenum and colon is rare in this condition, only four previous cases having been recorded in the...

BACKGROUND The treatment of gallstone ileus (GI) consists of surgical removal of the impacted bilestone with or without cholecystectomy and repair of the biliodigestive fistula. The objective of this study was to assess whether sparing patients a definitive biliary procedure adversely influenced the outcome. MATERIALS AND METHODS Patients with a diagnosis of GI were reviewed. Two groups were ...

Gallstone ileus is a rare complication of cholelithiasis. Only 0,3-0,5% of all patients with gallstones will eventually suffer from this condition. It is well known that there is an increased prevalence of gallstones among patients with Crohn's disease, but gallstone ileus remains even in these patients an unfrequent condition. Because of the rarity of this disease and its presentation as an in...

Obstruction at the level of the gastric outlet by a gallstone is defined as Bouveret's syndrome. It is an uncommon form of gallstone ileus. A single gallstone of at least 2.5 cm in diameter is the most common underlying cause of Bouveret's syndrome. Diagnosis is based on the clinical manifestations, existence of pneumobilia, visualization of lithiasis and demonstration of duodenal obstruction. ...

The present case is one of gallstone obstructive ileus due to gallstones 3 yr after laparoscopic cholecystectomy. It is interesting because of the sex of the patient, the fact that ileus occurred 3 yr after cholecystectomy and that the localization of the obstruction was an old side-to-side ileoileal anastomosis due to a diverticulectomy following intussusception of Meckels' diverticulum at the...

INTRODUCTION Gallstone ileus is responsible for 1-3 percent of cases of mechanical small bowel obstruction. Debate continues regarding choice of optimal surgical procedure. One-stage procedure includes enterolithotomy, cholecystectomy and repair of fistula at the same setting, whereas staged procedure includes enterolithotomy alone, with fistula repair at a later stage. This study aims to deter...

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...

A case of gallstone ileus of the colon with illustrative pictures is presented, making the physicians more aware of this rare entity. Furthermore, the use of imaging modalities for diagnosis and decision making in management strategy is discussed.

A 91−year−old nursing−home resident with dementia was admitted as an emer− gency with a 1−week history of lethargy, anorexia, constipation and abdominal distension. She was dehydrated and was assessed as having a Glasgow Coma Scale score of 9/15, which improved with fluid resuscitation. Her abdomen was distend− ed and tympanic, with obstructive bowel sounds. There were no palpable masses. She h...