Gallstone ileus an uncommon cause of bowel obstruction
DOI:
https://doi.org/10.18203/2320-6012.ijrms20221990Keywords:
Gallstone Ileus, Bowel obstruction, Gastrointestinal tractAbstract
Gallstone ileus is caused by the impaction of one or more gallstones within the gastrointestinal tract leading to mechanical obstruction. Thomas Bartholin described the first case in 1654 during an autopsy. This manuscript describes a case of gallstone ileus in a 39-year-old woman who presented data of intestinal occlusion and hemodynamic instability, being managed with intestinal resection for a 7 cm stone and entero-entero anastomosis, achieving an adequate post-surgical evolution. It is a rare complication of cholelithiasis and is found in 2 to 3% of all cases associated with recurrent episodes of cholecystitis, it occurs predominantly in women. In elderly patients (>65 years) it accounts for 25% of all cases of small bowel obstruction and carries a fivefold increased risk of morbidity (20 to 57%) compared to other causes of small bowel obstruction.
References
Harris J, Evers M. Small intestine; in Townsend C, Beauchamp RD, Evers B, Mattox K (eds): Sabiston Textbook of Surgery, CH. 49, ed 20. Philadelphia, Elsevier Saunders. 2016.
Vera-Mansilla C, Sanchez-Gollarte A, Matias B, Mendoza-Moreno F, Díez-Alonso M, Nisa FGM. Surgical Treatment of Gallstone Ileus: Less Is More. Visc Med. 2022;38(1):72-7.
Rodriguez JER, Grossi AE de LMT, Siqueira VR, de Siqueira Filho JT, Pereira MAS, da Cunha DGC. Gallstone ileus associated with cholecystogastric fistula: Case report, diagnosis and surgical treatment. Int J Surg Case Rep. 2021;86(8):0-4.
Aguirre-Olmedo I, del Castillo SR-A, Nuño-Guzmán CM, Briceño-Fuentes A, García-González RI, Torres-González MC et al. Gallstone ileus diagnosis and treatment: six-year experience in three academic institutions. Gastroenterol Hepatol Open Access. 2021;12(6):153-60.
Ploneda-Valencia CF, Gallo-Morales M, Rinchon C, Navarro-Muñiz E, Bautista-López CA, de la Cerda-Trujillo LF et al. Gallstone ileus: An overview of the literature. Rev Gastroenterol Mex. 2017;82(3):248-54.
Adamo V, Naddeo M, Di Natale W, Boglione L, Cavalli S. Gallstone ileus: monocentric experience looking for the adequate approach. Updates Surg. 2018;70(4):503-11.
