Document Detail

Recurrent gallstone ileus.
MedLine Citation:
PMID:  22723467     Owner:  NLM     Status:  MEDLINE    
Mechanical small bowel obstructions caused by gallstones account for 1% to 3% of cases. In these patients, 80% to 90% of residual gallstones in these patients will pass through a remaining fistula without consequence. Recurrent gallstone ileus has been reported in 5% of patients. We report the case of a woman, aged 72 years, who presented with mechanical small bowel obstruction caused by gallstone ileus. After successful surgical therapy for gallstone ileus, the patient's symptoms recurred, and she was diagnosed with recurrent gallstone ileus requiring a repeat operation. While management of gallstone ileus can be achieved through a single-stage operation including enterolithotomy and cholecystectomy with repair of biliary-enteric fistula or by enterolithotomy alone, the literature supports enterolithotomy alone as the treatment of choice for gallstone ileus due to decreased mortality and morbidity. However, the latter approach does not obviate potential recurrence. We present this case of recurrent gallstone ileus to elucidate and review the pathogenesis, presentation, diagnosis, and consensus recommendations regarding management of this disorder.
Nicolas Hayes; Sanjoy Saha
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Publication Detail:
Type:  Case Reports; Journal Article     Date:  2012-06-21
Journal Detail:
Title:  Clinical medicine & research     Volume:  10     ISSN:  1554-6179     ISO Abbreviation:  Clin Med Res     Publication Date:  2012 Nov 
Date Detail:
Created Date:  2012-11-12     Completed Date:  2013-04-25     Revised Date:  2013-07-12    
Medline Journal Info:
Nlm Unique ID:  101175887     Medline TA:  Clin Med Res     Country:  United States    
Other Details:
Languages:  eng     Pagination:  236-9     Citation Subset:  IM    
Department of Surgery, Marshfield Clinic, Marshfield, WI 54449, USA.
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MeSH Terms
Gallstones / complications*
Ileal Diseases / etiology,  surgery*
Intestinal Obstruction / diagnosis,  etiology,  surgery*
Intestinal Perforation / etiology,  surgery*
Jejunal Diseases / etiology,  surgery*

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