Abstract
Background
Gallstone ileus is one of the rare causes of intestinal obstruction wherein a large gallstone gets impacted at the narrowest part of the bowel leading to bowel obstruction. It is one of the most infrequent complications of gallstone disease. The most common site for obstruction is ileo-caecal junction because of the narrow calibre of the bowel. The patients usually have an active cholecysto-enteric fistula through which the stone slips into the bowel and thus causing symptoms. This condition is commonly seen in elderly population who recently had an episode of cholecystitis. Treatment depends on presentation and comorbid illness.
References
- M. Nuño-Guzmán. Gallstone ileus, clinical presentation, diagnostic and treatment approach. World J. Gastrointest. Surg., 8 (1) (2016), p. 65
- Chang, L., Chang, M., Chang, H.M. et al. Clinical and radiological diagnosis of gallstone ileus: a mini review. Emerg Radiol 25, 189–196 (2018).
- Takahashi, K, Kashimura, H, Konno, N, et al. Gallstone ileus with spontaneous evacuation: A case report. J Gen Fam Med. 2018; 19: 173– 175. https://doi.org/10.1002/jgf2.196
- Inukai K. Gallstone ileus: a review. BMJ Open Gastroenterol. 2019;6(1):e000344. Published 2019 Nov 24. doi:10.1136/bmjgast-2019-000344.
- Turner AR, Sharma B, Mukherjee S. Gallstone Ileus. [Updated 2019 Jun 27]. In: Stat Pearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2020 Jan. Available from: https://www.ncbi.nlm.nih.gov/books/NBK430834/
- Khalid Mirza Gari, Ahmed Eldamati, Mohammed S. Foula, et al. Laparoscopic management for gallstone ileus, case report, International Journal of Surgery Case Reports, Volume 51,2018, Pages 268-271.
- Cruz-Santiago J, Briceño-Sáenz G, García-Álvarez J, et al. Gallstone ileus presenting as obstructive gangrenous appendicitis. Rev Esp Enferm Dig. 2017;109(2):150-151.
- Prasad RM, Weimer KM, Baskara A (2017) Gallstone ileus presenting as intussusception: a case report. Int J Surg Case Rep 30:37–39.
- Ravikumar R, Williams JG. The operative management of gallstone ileus. Ann R Coll Surg Engl. 2010;92(4):279-281. doi:10.1308/003588410X12664192076377
- Qi Wu, Bing Zhang, Qiang Hu, et al. Gallstone ileus due to cholecystoduodenal fistula: a case report. Int J Clin Exp Med 2019;12(5):6173-6176.
- Inukai K. Gallstone ileus: a review. BMJ Open Gastroenterology 2019;6:e000344. doi: 10.1136/bmjgast-2019-000344
- Bircan HY, Koc B, Ozcelik U, Kemik O, Demirag A. Laparoscopic treatment of gallstone ileus. Clin Med Insights Case Rep. 2014;7:75-77. Published 2014 Aug 6. doi:10.4137/CCRep.S16512
- Reisner, R.M., Cohen, J.R. Gallstone ileus: A review of 1001 reported cases. American Surgeon, Volume 60, Issue 6, 1994, Pages 441-446.
Corresponding Author
Kasturi Rangan Sarathy
Trust Grade Registrar, Royal Oldham Hospital, Greater Manchester
Northern Care Alliance, Manchester, United Kingdom