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gallstone ileus

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https://www.readbyqxmd.com/read/28525251/-gallstone-ileus-a-rare-cause-of-acute-bowel-obstruction
#1
T Dossouvi, B N'Timon, K Adabra, E Sorsy, P Meignie
Gallstone ileus is a rare cause of bowel obstruction observed in older persons. The diagnosis is based on computed tomography. Enterolithotomy with or without cholecystectomy and the repair of the fistula is the treatment of choice. The aim of our study is to report two cases of gallstone ileus and to describe the epidemiology, diagnosis and therapy of gallstone ileus.
2017: Revue Médicale de Bruxelles
https://www.readbyqxmd.com/read/28433486/gallstone-ileus-an-overview-of-the-literature
#2
C F Ploneda-Valencia, M Gallo-Morales, C Rinchon, E Navarro-Muñiz, C A Bautista-López, L F de la Cerda-Trujillo, L A Rea-Azpeitia, C R López-Lizarraga
INTRODUCTION: Gallstone ileus represents 4% of the causes of bowel obstruction in the general population, but increases to 25% in patients above the age of 65 years. Gallstone ileus does not present with unique symptoms, making diagnosis difficult. Its management is surgical, but there is no consensus as to which of the different surgical techniques is the procedure of choice. At present, there is no recent review of this pathology. AIM: To conduct an up-to-date review of this disease...
April 19, 2017: Revista de Gastroenterología de México
https://www.readbyqxmd.com/read/28416061/-bouveret-s-syndrome-a-rare-complication-in-connection-with-cholecystolithiasis-and-a-variant-of-gallstone-ileus
#3
Mik Wetterslev, Simon Bernth Andersen, Jens Støvring
Bouveret's syndrome is a very rare complication to cholecystolithiasis resulting in gallstone ileus. It is caused by ectopic gallstones in the duodenum due to a bilioenteric fistula. Symptoms may include vomiting and upper abdominal pains. The condition is associated with high mortality, making it important to recognize. The treatment includes surgical removal of the gallstone. However, the optimal therapeutic approach has still not been found. In this case report a 59-year-old female with Bouveret's syndrome is presented...
April 17, 2017: Ugeskrift for Laeger
https://www.readbyqxmd.com/read/28401880/gallstone-ileus-a-case-treated-with-minilaparotomy-and-a-review-of-the-literature
#4
Francesco Zappia, Giovanni Petracca, Carlo Alessandro Talarico
Gallstone ileus is a rare complication of cholelithiasis which occurs in less than 1% of patients and is the cause of 1- 4% of cases of small bowel obstruction. The pathogenesis involves the formation of a bilioenteric fistula. We report the case of gallstone ileus in an 81-year old woman with typical abdominal pain, arterial hypertension and coronary artery disease. An abdominal computed tomography (CT) scan showed pneumobilia, dilated loops of small bowel and an ectopic gallstone obstructing the intestinal lumen...
March 29, 2017: Annali Italiani di Chirurgia
https://www.readbyqxmd.com/read/28389051/cholecystoduodenal-fistula-an-infrequent-complication-of-cholelithiasis-our-experience-in-its-surgical-management
#5
F Aguilar-Espinosa, R Maza-Sánchez, F Vargas-Solís, G A Guerrero-Martínez, J L Medina-Reyes, P I Flores-Quiroz
INTRODUCTION: Bilioenteric fistulas are the abnormal communication between the bile duct system and the gastrointestinal tract that occurs spontaneously and is a rare complication of an untreated gallstone in the majority of cases. These fistulas can cause diverse clinical consequences and in some cases be life-threatening to the patient. AIM: To identify the incidence of bilioenteric fistula in patients with gallstones, its clinical presentation, diagnosis through imaging study, surgical management, postoperative complications, and follow-up...
April 4, 2017: Revista de Gastroenterología de México
https://www.readbyqxmd.com/read/28331267/laparoscopic-management-of-a-proximal-jejunal-gallstone-ileus-with-patulous-ampulla-and-choledochal-cyst-a-report-of-unusual-presentation-and-a-review
#6
REVIEW
Rajvilas Anil Narkhede, Vijaykumar C Bada, Lakshmi Kumari Kona
Gallstone ileus is a diagnosis of rarity, and a proximal site of obstruction in a young patient is even rare. Of the three cases in our experience, we found two cases of gallstone ileus (GSI) with typical epidemiology and presentation, one had combination of multiple rare associations. We report such a case, suspected to have gallstone ileus on ultrasound and confirmed diagnosis on computed tomography. Presence of biliary-enteric fistula, old age, and obstructive features, as in typical cases, was a bigger asset for diagnosis, but it was difficult to entertain diagnosis of GSI in young girl in absence of a demonstrable biliary-enteric fistula, with uncommon association of choledochal cyst and sickle cell disease...
February 2017: Indian Journal of Surgery
https://www.readbyqxmd.com/read/28211283/gallstone-ileus-presenting-as-obstructive-gangrenous-appendicitis
#7
José Cruz-Santiago, Giuseppe Briceño-Sáenz, Javier García-Álvarez, José Luis Beristain-Hernández
We present the very unusual case of a 38-year-old woman with acute appendicitis and intestinal obstruction. During surgery, a 2.5 cm gallstone impacted at the base of the cecal appendix was found as the cause of a gangrenous appendicitis and obstruction; a choledochal-duodenal fistula was found during the same surgery with no gallstones remaining in the gallbladder or elsewhere. The case was managed by appendectomy with retrieval of the gallstones and no other procedure was performed for the gallbladder or the fistula, since no other gallstone was found on examination...
February 2017: Revista Española de Enfermedades Digestivas
https://www.readbyqxmd.com/read/28110901/-gastrointestinal-bleeding-and-delirium-challenges-in-the-diagnosis-of-gallstone-ileus-a-case-report-and-review-of-literature
#8
Francisco Aguilar-Espinosa, José Luis Gálvez-Romero, Jesús Falfán-Moreno, Gustavo Adolfo Guerrero-Martínez, Facundo Vargas-Solís
BACKGROUND: Gallstone ileus is a non-strangulated mechanical obstruction of the small bowel or colon as a result of the passage of gallstones through a biliary enteric fistula. It is a rare complication of cholelithiasis, affects patients over 65 years, and the disease occurs predominantly in females. Preoperative diagnosis is difficult due to the lack of specific signs and symptoms in elderly patients with multiple comorbidities. CLINICAL CASE: A 93-year-old female presenting with a one-week history of upper gastrointestinal bleeding, electrolyte imbalance and community- acquired pneumonia pneumonia...
January 19, 2017: Cirugia y Cirujanos
https://www.readbyqxmd.com/read/27933137/gallstone-ileus-associated-with-impaction-at-meckel-s-diverticulum-case-report-and-literature-review
#9
Harveen K Lamba, Yiwen Shi, Ajita Prabhu
Gallstone ileus due to erosion of one or more gallstones into the gastrointestinal tract is an uncommon cause of small bowel obstruction. The site of impaction is usually distal ileum, and less commonly the jejunum, colon, duodenum, or stomach. We report a rare case of gallstone ileus with impaction at the proximal small bowel and at a Meckel's diverticulum (MD) in a 64-year-old woman managed with laparoscopic converted to open small bowel resections. Patient was discharged home in stable condition and remained asymptomatic at 6-mo follow up...
November 27, 2016: World Journal of Gastrointestinal Surgery
https://www.readbyqxmd.com/read/27916022/a-wandering-tube
#10
Ina Dubin, Moshe Gelber, Ami Schattner
The predominant causes of acute mechanical small bowel obstruction in geriatric patients are adhesions and hernias, which is not much different than in other adult age groups. Unusual etiologies may be encountered, such as volvulus or gallstone ileus, but a displaced feeding gastrostomy tube is a distinctly rare cause of intestinal obstruction which needs to be considered by emergency physicians as it may be increasingly encountered.
December 5, 2016: CJEM
https://www.readbyqxmd.com/read/27904625/an-intriguing-case-of-gallstone-ileus-after-hepaticojejunostomy-caused-by-a-stone-on-a-suture
#11
Mahir Gachabayov, Petr Mityushin
Gallstone ileus (GI) is a mechanical obstruction of small or large bowel caused by gallstone passed to the intestinal lumen through spontaneous or postoperative biliodigestive fistula. A 42-year-old female patient was admitted with the clinical presentation of small bowel obstruction. She underwent hepaticojejunostomy 4 years prior to admission for primary sclerosing cholangitis. Barium meal follows through revealed Rigler's triad. The patient underwent laparotomy which revealed GI. A "stone on a suture" was removed through enterotomy...
2016: Journal of Research in Medical Sciences: the Official Journal of Isfahan University of Medical Sciences
https://www.readbyqxmd.com/read/27904253/delayed-diagnosis-of-mirizzi-syndrome
#12
REVIEW
Olufunmilola Oladini, Steven M Zangan, Rakesh Navuluri
Biliary obstruction occurs in a wide variety of malignant and benign conditions. The following is a unique case of biliary obstruction caused by external compression of the hepatic duct by a gallstone (Mirizzi syndrome). Owing to unusual imaging characteristics of the stone, the mass was initially mistaken for a malignancy or hepatic pseudoaneurysm. It was not until the patient developed gallstone ileus that the correct diagnosis was made.
December 2016: Seminars in Interventional Radiology
https://www.readbyqxmd.com/read/27898355/gallstone-ileus-presenting-as-intussusception-a-case-report
#13
Rahul M Prasad, Katrina M Weimer, Arunkumar Baskara
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 presenting with symptoms of acute small bowel obstruction with a surgical history significant for cholecystectomy 30 years prior...
November 22, 2016: International Journal of Surgery Case Reports
https://www.readbyqxmd.com/read/27896385/pictorial-review-the-pearls-and-pitfalls-of-the-radiological-manifestations-of-gallstone-ileus
#14
REVIEW
Phei Shan Chuah, John Curtis, Nikhil Misra, Dina Hikmat, Sumita Chawla
We present a pictorial review of a range of typical and atypical cases of gallstone ileus (GI), across a wide range of imaging modalities. GI is a complication of gallstone disease causing mechanical intestinal obstruction due to impaction of gallstone in the gastrointestinal tract. The spectrum of presentation can vary enormously, and we highlight the importance of accurate imaging diagnosis of GI especially early use of computed tomography. This will lead to timely and appropriate surgical intervention with the potential avoidance of unnecessary outcomes...
November 28, 2016: Abdominal Radiology
https://www.readbyqxmd.com/read/27677937/novel-treatment-options-for-bouveret-s-syndrome-a-comprehensive-review-of-61-cases-of-successful-endoscopic-treatment
#15
REVIEW
Jean-Marc Dumonceau, Jacques Devière
In Bouveret's syndrome, a biliary stone obstructs the duodenum. Surgical treatment is plagued by high morbidity and mortality. Therefore, endoscopic treatment has become a first-line approach. Areas covered: A literature search of Medline and Google Scholar databases was performed using the terms endoscopic treatment, non-operative treatment, Bouveret's syndrome, and gallstone ileus. Sixty-one cases of successful endoscopic treatment were found over the period 1978-2016 and are summarized herein. Therapeutic modalities used in 52 patients with complete success included mechanical lithotripsy (40% of cases), electrohydraulic lithotripsy (21% of cases), extraction of the intact stone and laser lithotripsy (15% of cases each), extracorporeal shockwave lithotripsy and duodenal stenting (4% of cases each)...
November 2016: Expert Review of Gastroenterology & Hepatology
https://www.readbyqxmd.com/read/27615020/rigler-triad-in-gallstone-ileus
#16
Lorena Brandariz Gil, Tamara Fernández de Miguel, José Perea
Gallstone ileus is an exceptional complication among billiary diseases. It is defined as an intestinal obstruction caused by a gallstone as it passes through a bilio-digestive fistula. This is disease with high morbi-mortality, and whose main contributing factors are the advanced age of the patients, comorbidities and the delayed diagnosis. Most of the times, it is a postoperative diagnosis and a high clinical suspicion is essential for an early diagnosis. In patients with gallstone ileus the abdominal X-ray is frequently nonspecific and to observe a complete Rigler triad is exceptional...
September 2016: Revista Española de Enfermedades Digestivas
https://www.readbyqxmd.com/read/27599371/minimally-invasive-management-of-gallstone-ileus-with-cholecystoduodenal-fistula
#17
Stéphane Bourgouin, Gatien Lamblin, Pauline Rose, Ludivine Gan, Paul Balandraud
No abstract text is available yet for this article.
September 6, 2016: ANZ Journal of Surgery
https://www.readbyqxmd.com/read/27567045/-gallstone-ileus-experience-in-the-dr-eduardo-liceaga-general-hospital-of-mexico
#18
Eder Alejandro Sánchez-Pérez, Sinuhé Álvarez-Álvarez, Marco Antonio Madrigal-Téllez, Gabriela Elaine Gutiérrez-Uvalle, Jorge Enrique Ramírez-Velásquez, Luis Mauricio Hurtado-López
BACKGROUND: Gallstone ileus is a rare cause of intestinal obstruction (1-4%). It results from the migration of a gallstone through a bilio-enteric fistula. Treatment begins with fluid therapy, followed by enterolithotomy, fistula closure, and cholecystectomy. OBJECTIVES: To determine the clinical presentation in patients with gallstone ileus and subsequent medical -surgical management outcomes. MATERIAL AND METHODS: A retrospective, observational, descriptive and transversal study was conducted on patients diagnosed with intestinal obstruction secondary to a gallstone ileus from May 2013 to October 2014...
March 2017: Cirugia y Cirujanos
https://www.readbyqxmd.com/read/27561369/small-bowel-obstruction-in-the-virgin-abdomen-time-to-challenge-surgical-dogma-with-evidence
#19
Yvonne Ying-Ru Ng, James Chi-Yong Ngu, Andrew Siang-Yih Wong
BACKGROUND: Although adhesions account for more than 70% of small bowel obstruction (SBO), they are thought to be less likely aetiologies in patients without previous abdominal surgery. Expedient surgery has historically been advocated as prudent management in these patients. Emerging evidence appears to challenge such a dogmatic approach. METHODS: A retrospective analysis was performed in all SBO patients with a virgin abdomen admitted between January 2012 and August 2014...
August 25, 2016: ANZ Journal of Surgery
https://www.readbyqxmd.com/read/27497941/bowel-obstruction-and-perforation-due-to-a-large-gallstone-a-case-report
#20
Georgios Sahsamanis, Konstantinos Maltezos, Panagiotis Dimas, Alexandros Tassos, Christos Mouchasiris
INTRODUCTION: Gallstone bowel obstruction is a rare form of mechanical ileus usually presenting in elderly patients, and is associated with chronic or acute cholecystitis episodes. CASE PRESENTATION: We present the case of an 80year old female with abdominal pain, inability to defecate and recurrent episodes of diarrhea for the past 8 months. CT examination uncovered a cholecystoduodenal fistula along with gas in the gall bladder and the presence of a ≥2cm gallstone inside the small bowel lumen causing obstruction...
2016: International Journal of Surgery Case Reports
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