Laparoscopic management of gallstone ileus: A case report and literature review
| Autor: | Pedro Soto, Matías Orellana, Marcelo Villarroel, Liumariel Vegas, Alfredo Cáceres |
|---|---|
| Rok vydání: | 2021 |
| Předmět: |
medicine.medical_specialty
medicine.diagnostic_test business.industry General surgery medicine.medical_treatment Small bowel obstruction Case Report Emergency department Gallstone ileus medicine.disease Bowel obstruction medicine.anatomical_structure Laparotomy medicine Abdomen Enterolithotomy Surgery Laparoscopy business Complication Pelvis |
| Zdroj: | International Journal of Surgery Case Reports |
| ISSN: | 2210-2612 |
| Popis: | Introduction and importance Gallstone ileus is an uncommon complication of cholelithiasis. It is usually presented as a small bowel obstruction. Elderly patients are commonly affected. The diagnosis is challenging, since needs a high index of suspicion and imagenology is key. Surgery is the mainstay management, most commonly performed by laparotomy, but laparoscopy is summing cases. Nevertheless the approach is still controversial. We report a gallstone ileus case, that was managed totally laparoscopic in our medium complex public institution. Case presentation An 71 years-old male patient, with symptomatic cholelithiasis, consulted in emergency department with symptoms and signs of small bowel obstruction. Computed tomography of abdomen and pelvis showed the classical Rigler's triad. Totally laparoscopic enterolithotomy alone was performed successfully. Postoperative evolution was without incidents, being discharge at fifth day. Clinical discussion Gallstone ileus represents around 0,3–0,5% of cholelithiasis complications. Mostly affect elderly women patients, with comorbidities. Mortality and morbidity is still high nowadays. The classical management of gallstone ileus is the open surgery, but the laparoscopic approach has been described and it can be done. Conclusion The laparoscopic management of gallstone ileus is effective and secure procedure and seems reasonable to attempt if the conditions and skills are available. Highlights • Gallstone ileus is an uncommon complication of cholelithiasis. • Mostly affect elderly women patients, with comorbidities. • Mortality and morbidity is still high nowadays. • The diagnosis is difficult to accomplish. • The classical management of gallstone ileus is the open surgery, but the laparoscopic management of gallstone ileus is effective and secure procedure. |
| Databáze: | OpenAIRE |
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