INTRODUCTION Cases of gallstone ileus account for 1% to 4% of all instances of mechanical bowel obstruction. The majority of obstructing gallstones are located in the terminal ileum. Less than 10% of impacted gallstones are located in the duodenum. A gastric outlet obstruction secondary to a gallstone ileus is known as Bouveret syndrome. Gallstones usually enter the bowel through a biliary ente...

Gallstone ileus is a rare mechanical bowel obstruction, and previously reported cases have been treated laparoscopically with good results. Although transvaginal hybrid NOTES without a minilaparotomy has been reported to decrease the incidence of surgical wound complications, to our knowledge, this procedure has not been used previously to treat gallstone ileus. We present a case of a 63-year-o...

A 74-year-old Taiwanese woman with diabetes mellitus came to the emergency department with a 1-week period of diffuse abdominal pain. She had been followed for asymptomatic gallstone (Figure 1A). Physical examination showed diffuse tenderness of abdomen and plain film of abdomen revealed intestinal obstruction (Figure 1B). Total serum bilirubin was 0.6mg/dl, glutamate oxaloacetate transaminase ...

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 ...

E690 CMAJ, October 1, 2013, 185(14) © 2013 Canadian Medical Association or its licensors A90-year-old man was admitted with acute-onset, pressing retrosternal pain and diffuse abdominal discomfort. Electrocardiography and cardiac troponin levels ruled out an acute coronary syndrome. Plain radiography of the abdomen (Figure 1A) showed multiple air–fluid levels and air in the biliary tree (pneumo...

Gallstone ileus, a rare complication of cholelithiasis, is caused by an impaction gallstones within the gastrointestinal tract leading to mechanical intestinal obstruction. Here in, we describe case gallstone ileus in 62-year-old woman successfully treated with enterolithotomy. The patient was discharged home after uneventful post-operative period. uncommon and cause obstruction, often delayed ...

Abstract Gallstone ileus is an uncommon presentation in patients with acute abdomen. Its diagnosis and treatment are often delayed due to its nonspecific clinical presentation. Presence of gallstone ileum can be difficult detect on computed tomography (CT) as mostly they lucent. We report the case a 66-year-old man 1-day history vomiting abdominal bloating. Initial CT could not identify obstruc...

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...

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...