Gallstone ileus: A possible cause of bowel obstruction in the elderly population.
| Autor: | De Monti M; EOC - 'Beata Vergine' Mendrisio Regional Hospital, Department of Surgery, Via Alfonso Turconi, 23, CH 6850, Mendrisio, Canton Ticino, Switzerland., Cestaro G; EOC - 'Beata Vergine' Mendrisio Regional Hospital, Department of Surgery, Via Alfonso Turconi, 23, CH 6850, Mendrisio, Canton Ticino, Switzerland. Electronic address: giovanni.cestaro@eoc.ch., Alkayyali S; EOC - 'Beata Vergine' Mendrisio Regional Hospital, Department of Surgery, Via Alfonso Turconi, 23, CH 6850, Mendrisio, Canton Ticino, Switzerland., Galafassi J; EOC - 'Beata Vergine' Mendrisio Regional Hospital, Department of Surgery, Via Alfonso Turconi, 23, CH 6850, Mendrisio, Canton Ticino, Switzerland., Fasolini F; EOC - 'Beata Vergine' Mendrisio Regional Hospital, Department of Surgery, Via Alfonso Turconi, 23, CH 6850, Mendrisio, Canton Ticino, Switzerland. |
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| Jazyk: | angličtina |
| Zdroj: | International journal of surgery case reports [Int J Surg Case Rep] 2018; Vol. 43, pp. 18-20. Date of Electronic Publication: 2018 Feb 04. |
| DOI: | 10.1016/j.ijscr.2018.01.010 |
| Abstrakt: | Introduction: Gallstone ileus (GI) is characterized by a mechanical occlusion of the ileal lumen as a result of migration of one or more gallstones in the intestinal tract. Less than 1-4% of all cases of intestinal obstruction are derived from this etiology (1,2,3). Case Report: We present a case of small intestinal obstruction owing to a large gallstone in lower ileum in a 66 years old woman. The diagnosis was made by computed tomography, and treated successfully with an enterotomy, with a removal of a 5 cm gallstone, carried out through a longitudinal incision on the antimesenteric border. Post-operative course presented no adverse effects. Conclusion: Gallstone ileus should be considered in case of bowel obstruction in the elderly population. Abdominal CT scan is the preferred investigation for a timely diagnosis. (Copyright © 2018 The Author(s). Published by Elsevier Ltd.. All rights reserved.) |
| Databáze: | MEDLINE |
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