Case Report Gallstone ileus in the absence of cholecystoduodenal fistula

Authors: Serracino Inglott, F.; Williamson, R.

Source: Hpb, Volume 2, Number 1, 1 January 2000 , pp. 61-63(3)

Buy & download fulltext article:

Price: $56.94 plus tax (Refund Policy)

Abstract:

BackgroundGallstone ileus, an uncommon cause of intestinal obstruction, is nearly always associated with a cholecystoduodenal fistula. Case outlineWe present a very unusual case of gallstone ileus following endoscopic sphincterotomy for obstructive jaundice in a patient who had undergone cholecystectomy 21 years previously. ResultsLaparotomy revealed an adherent, fibrosed and narrow segment of ileum containing a small impacted gallstone. Following intestinal resection the patient made a satisfactory recovery and remained well four months later. DiscussionPatients without a gallbladder may still develop gallstone ileus. Gallstones large enough to impact within the intestinal lumen may pass from the common bile duct into the small bowel following endoscopic sphincterotomy or through a choledochoduodenal fistula, whilst smaller stones may impact in the small bowel at a site of pathological narrowing.

Keywords: gallstone ileus; endoscopic sphincterotomy

Document Type: Miscellaneous

DOI: http://dx.doi.org/10.1080/136518200535885

Affiliations: 1: Department of Gastrointestinal Surgery, Imperial College School of Medicine, Hammersmith Hospital, London, UK

Publication date: 2000-01-01

More about this publication?