Recurrent intestinal obstruction due to gallstone ileus during same hospital admission: a case report and literature review

Author:

Alnahari Danah I1,Almalki Sami A2,Alabeidi Fahad A2

Affiliation:

1. College of Medicine, King Saud Bin Abdulaziz University for Health Sciences, Riyadh, Saudi Arabia

2. Department of Surgery, King Abdulaziz Medical City, Ministry of National Guard-Health Affairs, Riyadh, Saudi Arabia

Abstract

Abstract Gallstone ileus (GSI) is an uncommon entity that causes obstruction of the intestinal lumen due to gallstones. It affects mainly the elderly with multiple comorbidities, leading to a high mortality rate. In this case, an 81-year-old woman was admitted due to GSI. She had a recurrence after 5 days of the index surgery. Recurrent intestinal obstruction due to GSI during the same hospitalization despite complete clearance of the small bowel from stones is rare. Through our case, we will discuss management along with a review of the current evidence.

Publisher

Oxford University Press (OUP)

Subject

Surgery

Reference10 articles.

1. Gallstone obstruction: pathogenesis and Roentgen manifestations;Rigler;JAMA,1941

2. Gallstone obstruction of the intestine;Anderson;Surg Gynecol Obstet,1967

3. Gallstone ileus;Clavien;Br J Surg,1990

4. Gallstone ileus: increased diagnostic sensitivity by combining plain film and ultrasound;Ripolles;Abdom Imaging,2001

5. Value of CT in the diagnosis and management of gallstone ileus;Yu;World J Gastroenterol,2005

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