Gallstone ileus resolved with enterolithotomy: a case report and literature review

Olga E. Amador; Gabriel Gutierrez Gabriel Gutierrez; Miguel A. Echeverry; Francisco Ayón; Santiago S. Ávila; Arturo E. C. Baldenebro

doi:10.18203/2320-6012.ijrms20242626

Authors

Olga E. Amador Department of General Surgery, Hospital General de Mazatlán “Dr. Martiniano Carvajal”, Mazatlán, Sinaloa, Mexico
Gabriel Gutierrez Gabriel Gutierrez Department of General Surgery, Hospital General de Mazatlán “Dr. Martiniano Carvajal”, Mazatlán, Sinaloa, Mexico
Miguel A. Echeverry Department of Surgery, Instituto Mexicano del Seguro Social, Leon, Mexico
Francisco Ayón Department of General Surgery, Hospital General de Mazatlán “Dr. Martiniano Carvajal”, Mazatlán, Sinaloa, Mexico
Santiago S. Ávila Department of General Surgery, Hospital General de Mazatlán “Dr. Martiniano Carvajal”, Mazatlán, Sinaloa, Mexico
Arturo E. C. Baldenebro Department of Surgery, Instituto Mexicano del Seguro Social, Leon, Mexico

DOI:

https://doi.org/10.18203/2320-6012.ijrms20242626

Keywords:

Gallstone ileus, Bilioenteric fistula, Acute intestinal obstruction

Abstract

Gallstone ileus is considered a rare complication in patients with cholelithiasis, occurring in up to 0.1-0.5%. It represents 4% of the causes of intestinal obstruction. Its prevalence increases with age, being observed up to 25% in patients over 65 years of age and has a predominance in the female gender. The occlusion can occur from the stomach to the rectum, being more common in the small intestine. We present a case of gallstone ileus that required surgical treatment which resolved the occlusion condition with a good evolution and a favorable discharge.

Metrics

Metrics Loading ...

References

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.

Belmontes M, Pintor JC. Gallstone ileus, an infrequent intestinal occlusion, case report and literature review. Revista de la Facultad de Medicina de la UNAM. 2015;58(1).

Nuño-Guzmán CM, Marín-Contreras ME, Figueroa-Sánchez M, Corona JL. Gallstone ileus, clinical presentation, diagnostic and treatment approach. World J Gastrointest Surg. 2016;8(1):65-76.

Turner AR, Sharma B, Mukherjee S. Gallstone Ileus. 2022. In: StatPearls. Treasure Island (FL): StatPearls Publishing. 2024.

Salazar-Jiménez MI, Alvarado-Durán J, Fermín-Contreras MR, Rivero-Yáñez F, Lupian-Angulo AI, Herrera-González A. Gallstone ileus, surgical management review. Cir Cir. 2018;86(2):182-6.

Farkas N, Kaur V, Shanmuganandan A, Black J, Redon C, Frampton AE, et al. A systematic review of gallstone sigmoid ileus management. Ann Med Surg (Lond). 2018;27:32-9.

Mancilla Ulloa FJ, Rayas Ruiz D. Biliary Ileus: Case Report and Review of the Literature. Cir Gen. 2014;36(2):121-5.

Halabi WJ, Kang CY, Ketana N, Lafaro KJ, Nguyen VQ, Stamos MJ, et al. Surgery for gallstone ileus: a nationwide comparison of trends and outcomes. Ann Surg. 2014;259(2):329-35.

Requena-López AA, Mata-Samperio BK, Solís-Almanza F, Casillas-Vargas R, Cuadra-Reyes LA. Comparison between surgical techniques in gallstone ileus and outcomes. Cir Cir. 2020;88(3):292-6.

Ramírez-Nava JR, Rentería-Palomo E, Delano-Alonso R, Valenzuela-Salazar C. Bowel obstruction for gall stone ileus, surgical management. Rev Fac Med (Méx). 2019;62(3):32-7.