gastrointestinal obstruction by a gallstone is an uncommon but important complication of biliary stone disease which mostly affects the elderly. the classic triad of radiological features includes pneumobilia, ectopic gallstone and evidence of intestinal obstruction. terminal ileum is the most common site of obstruction, followed by jejunum and gastric outlet. we present a case of duodenal gall...

Gallstone ileus is a rare complication of cholelithiasis. It accounts for 25% of nonstrangulated small bowel obstructions in patients over the age of 65 years. The morbidity and mortality rate of gallstone ileus remains very high, partly because of misdiagnosis or delayed diagnosis. The two surgical options are: a) enterolithotomy with removal of impacted stone, cholecystectomy, and fistula rep...

Gallstone ileus, a mechanical intestinal obstruction caused by the passage of a gallstone into the intestinal lumen through a fistula, although not common, deserves to more carefully studied due to its morbidity and mortality. Its incidence among older-age groups explains its association with chronic and degenerative diseases, which increase the complexity of the treatment choice. The need and ...

INTRODUCTION Gallstone ileus following cholecystostomy has been reported once, in a patient with acute cholecystitis, where symptoms of small intestinal obstruction had developed one day after surgery. We report a case of gallstone ileus eight months following a cholecystostomy, which might deter the diagnosis. This is the only such reported case in medical literature according to our knowledge...

McPartlin, J. F., Dickson, J. A. S., and Swain, V. A. J. (1972). Archives of Disease in Childhood, 47, 207. Meconium ileus: immediate and long-term survival. The results of surgery for meconium ileus obstruction (37 cases) at Queen Elizabeth Hospital for Children, London, during the years 1953 to 1970 are presented. The surgical survival was 30% in the years 1953 to 1961, and 70% in the years 1...

DESCRIPTION A healthy 78-year-old man was admitted with a 3-day history of epigastric pain and bilious vomiting. Ultrasound revealed cholelithiasis with a normal calibre common bile duct. The patient subsequently underwent an upper gastrointestinal endoscopy which demonstrated a large duodenal defect consistent with an entero-biliary fistula (figure 1). Abdominal CT demonstrated small bowel dil...

Colonic gallstone ileus in an uncommon mechanical bowel obstruction caused by intraluminal impaction of one or more gallstones. The surgical management of gallstone ileus is complex and is potentially of high risk. There have been reports of gallstone extractions using various endoscopic modalities to relieve the obstruction. In this report we present the technique employed to successfully perf...

Paralytic ileus Usually postoperative, sepsis or severe hypokalaemia/ hypomagnesaemia Urea and electrolyte estimation; plain x-ray of abdomen, presence of rectal gas Nasogastric decompression; intravenous fluids; electrolyte replenishment Introduction Various causes of mechanical bowel obstruction, such as intestinal atresias, intussusception, meconium ileus, external herniations, and midgut vo...

UNLABELLED INTRODUCTION Gallstone ileus is a rare cause of bowel obstruction and results from the passage of gallstones into the bowel. CASE PRESENTATION We present the case of an 83-year-old Caucasian woman who had three episodes of gallstone ileus, each of which was managed with simple enterotomy. This sequence is one of the first reported in the medical literature and may be seen to cha...