Gallstone ileus: endoscopic removal of a gallstone obstructing the upper jejunum

Authors: Lübbers, H.; Mahlke, R.; Lankisch, P. G.

Source: Journal of Internal Medicine, Volume 246, Number 6, December 1999 , pp. 593-597(5)

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Abstract:

Lübbers H, Mahlke R, Lankisch PG (Department of Internal Medicine, Municipal Clinic, Lüneburg, Germany). Gallstone ileus: endoscopic removal of a gallstone obstructing the upper jejunum (Case Report). J Intern Med 1999; 246: 593-597.

In a 91-year-old female patient admitted with an ileus, ultrasound and computed tomography demonstrated the obstruction of the upper jejunum by a large gallstone. Due to concurrent diseases the patient was unfit for surgery. An attempt was made to remove the impacted stone endoscopically. After successful mobilization and fragmentation by mechanical lithotripsy the obstruction was cleared away. Since the patient improved considerably after this procedure, the gallbladder and the cholecystoduodenal fistula were left in place.

Keywords: diagnosis; endoscopy; gallstone ileus and treatment

Document Type: Research article

DOI: http://dx.doi.org/10.1046/j.1365-2796.1999.00597.x

Affiliations: 1: From the Department of Internal Medicine, Municipal Clinic of Lüneburg, D-21339 Lüneburg, Germany

Publication date: 1999-12-01