Document Detail

The oldest patient with gallstone ileus: report of a case and review of 176 cases in Japan.
MedLine Citation:
PMID:  18981682     Owner:  NLM     Status:  MEDLINE    
We report a 91-year-old woman presenting bowel obstruction due to impacted gallstone, who was the oldest patient which has been reported in Japanese scientific literature. The patient was referred to our hospital due to vomiting and abdominal pain. Computed tomography and abdominal X-ray showed dilated loops of small intestine associated with air-fluid levels, pneumobilia, and a calcified mass in the left iliac fossa. After the diagnosis of bowel obstruction due to gallstone was made, an enterotomy and lithotomy was performed under spinal anesthesia. The postoperative recovery was uneventful. We also reviewed 176 cases of gallstone ileus which were reported in the Japanese literature in the past 20 years. The retrospective analysis demonstrated that one-stage enterolithotomy alone may be acceptable as the first choice of operative treatment. The gallstone ileus is a rare, but important disease because urgent and appropriate surgical therapy is required.
Atsunori Nakao; Yasuhisa Okamoto; Masataka Sunami; Takuji Fujita; Takao Tsuji
Publication Detail:
Type:  Case Reports; Journal Article; Review    
Journal Detail:
Title:  The Kurume medical journal     Volume:  55     ISSN:  1881-2090     ISO Abbreviation:  Kurume Med J     Publication Date:  2008  
Date Detail:
Created Date:  2008-11-04     Completed Date:  2009-01-15     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  2985210R     Medline TA:  Kurume Med J     Country:  Japan    
Other Details:
Languages:  eng     Pagination:  29-33     Citation Subset:  IM    
Department of Gastroenterology, Hepatology and Diabetes Mellitus Center, Fujita Hospital.
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MeSH Terms
Aged, 80 and over
Gallstones / complications*,  diagnosis,  surgery
Ileus / diagnosis,  etiology*,  surgery
Retrospective Studies

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