Gallstone ileus: a rare type of intestinal obstruction in Ghana.
| Autor: | Asare OK; Department of Surgery, Korle-Bu Teaching Hospital, Accra, Ghana., Obaka HE; Department of Surgery, Korle-Bu Teaching Hospital, Accra, Ghana., Affram NK; Department of Surgery, Volta Regional Hospital, Ho, Ghana. |
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| Jazyk: | angličtina |
| Zdroj: | Ghana medical journal [Ghana Med J] 2021 Mar; Vol. 55 (1), pp. 84-87. |
| DOI: | 10.4314/gmj.v55i1.13 |
| Abstrakt: | Gallstone ileus is an uncommon cause of intestinal obstruction in Ghana. A patient with gallstone ileus that was diagnosed intra-operatively after being treated conservatively as adhesive small bowel obstruction for ten days is reported to highlight the importance of the clinical information in this condition. A 60-year-old Chinese male with recurrent intestinal obstruction who was initially being managed at a primary healthcare facility was subsequently referred to a tertiary hospital on account of computer tomography diagnosis of an intraluminal object obstructing the bowel. He had hypokalaemia that was corrected before surgery. Intra-operatively, a 4.5cm in diameter gallstone was removed from the terminal ileum. Gallstone ileus is rare in Ghana. A high index of suspicion is required to avoid a delay in diagnosis due to the low incidence of cholelithiasis in Ghana. Funding: None declared. Competing Interests: Conflict of interest: None declared (Copyright © The Author(s).) |
| Databáze: | MEDLINE |
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