Journal of Society of Surgeons of Nepal (Aug 2023)

Gallstone Ileus: A Stone In The Way

  • Bárbara Neto Castro,
  • Ana Rita Ferreira,
  • Susana Graça,
  • Manuel Oliveira

DOI
https://doi.org/10.3126/jssn.v26i1.57392
Journal volume & issue
Vol. 26, no. 1

Abstract

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Gallstone ileus, a rare complication of cholelithiasis, is caused by an impaction of gallstones within the gastrointestinal tract leading to mechanical intestinal obstruction. Here in, we describe a case of gallstone ileus in a 62-year-old woman successfully treated with enterolithotomy. The patient was discharged home after an uneventful post-operative period. Gallstone ileus is an uncommon complication of gallstones and a rare cause of intestinal obstruction, with often delayed presentation and non-specific symptoms. The preferred approach is enterolithotomy. Elective cholecystectomy after the acute episode is controversial.

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