Gall-stone ileus

R. B. Stitt; D. J. Heslin; Donald J. Currie

doi:10.1002/bjs.1800540803

Presentation of Gall Stone Ileus as Gut Obstruction

JMS SKIMS ◽

10.33883/jms.v21i2.328 ◽

2019 ◽

Vol 21 (2) ◽

pp. 117-119

Author(s):

Munir Ahmad Wani ◽

Mubarak Ahmad Shan ◽

Syed Muzamil Andrabi ◽

Ajaz Ahmad Malik

Keyword(s):

Abdominal Pain ◽

Case Report ◽

Ct Scan ◽

Bowel Obstruction ◽

Emergency Surgery ◽

Gallstone Ileus ◽

Gall Stone ◽

Life Threatening ◽

Life Threatening Complication ◽

Gall Stone Ileus

Gallstone ileus is an uncommon and often life-threatening complication of cholelithiasis. In this case report, we discuss a difficult diagnostic case of gallstone ileus presenting as small gut obstruction with ischemia. A 56-year-old female presented with abdominal pain and vomiting. A CT scan was performed and showed an evolving bowel obstruction with features of gut ischemia with pneumobilia although no frank hyper density suggestive of a gallstone was noted. The patient underwent emergency surgery and a 60 mm obstructing calculus was removed from the patient's jejunum, with a formal tube cholecystostomy. JMS 2018: 21 (2):117-119

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GALL‐STONE ILEUS: SPONTANEOUS PASSAGE OF THE CALCULUS

The Medical Journal of Australia ◽

10.5694/j.1326-5377.1960.tb23980.x ◽

1960 ◽

Vol 2 (25) ◽

pp. 979-979 ◽

Cited By ~ 1

Author(s):

Thomas F. Rose ◽

J. Hargraves Hodgson

Keyword(s):

Gall Stone ◽

Spontaneous Passage ◽

Gall Stone Ileus

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563 A Rare Case of Small Bowel Obstruction Secondary to Peritoneal Encapsulation, Congenital Adhesional Band and Gallstone Ileus

British Journal of Surgery ◽

10.1093/bjs/znab259.300 ◽

2021 ◽

Vol 108 (Supplement_6) ◽

Author(s):

P Gungadin ◽

A Taib ◽

M Ahmed ◽

A Sultana

Keyword(s):

Small Bowel ◽

Small Bowel Obstruction ◽

Bowel Obstruction ◽

Unusual Case ◽

Gallstone Ileus ◽

Gall Stone ◽

Case Presentation ◽

Peritoneal Encapsulation ◽

History Of ◽

Gall Stone Ileus

Abstract Introduction Small bowel obstruction can be caused by multiple factors. We describe an unusual case of small bowel obstruction secondary to three rare factors: gallstone ileus, peritoneal encapsulation and congenital adhesional band. Case Presentation A seventy-nine-year-old male presented with a four-day history of obstipation and abdominal pain. CT abdomen pelvis revealed small bowel obstruction secondary to gallstone ileus. The patient was managed by laparotomy. The intraoperative findings revealed the presence of a congenital peritoneal encapsulation with an adhesional band and gallstone proximal to the ileo-caecal valve. Although there was some dusky small bowel, this recovered following the release of the band. Discussion Peritoneal Encapsulation is a rare congenital pathology resulting in the formation of an accessory peritoneal membrane around the small bowel. This condition is asymptomatic and rarely presents as small bowel obstruction. The diagnosis is often made at laparotomy. There are less than 60 cases reported in literature. Gallstone ileus is another rare entity caused by an inflamed gallbladder adhering to part of the bowel resulting in a fistula. Conclusions The rarity of these conditions mean that they are poorly understood. A combination of this triad of gall stone ileus in the presence of peritoneal encapsulation and congenital band has not been reported before. Knowledge of this would raise awareness, facilitate diagnosis and management of patients.

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