Gallstone ileus – a rare complication of gallstone disease. our surgical treatment experience
Keywords:
gallstone ileus, cholecystoduodenal fistula, cholecystoenteric fistula, enterolithotomyAbstract
Gallstone ileus is a rare but life-threatening complication of gallstone disease. It occurs as a result of the passage of a large gallstone through a bilioenteric fistula, leading to obstruction of the small intestine and mechanical ileus. This condition most commonly affects elderly patients with multiple comorbidities, making it a challenge both diagnostically and therapeutically. The primary treatment for gallstone ileus is surgical. Timely diagnosis and the selection of an appropriate surgical strategy are key to reducing postoperative morbidity and mortality. The present article presents our clinical experience in the surgical treatment of gallstone ileus in two patients admitted emergently with signs of small bowel obstruction. The clinical symptoms, imaging and intraoperative findings, and the surgical interventions performed are analyzed.
References
Acalovschi M, Lammert F. The Global Burden of Gallstone Disease. WGO. 2012;17(4).
Agiular-Espinosa F, Maza-Sanchez R, Vargas-Solis F. Cholecystoduodenal fistula, an infrequent complication of cholelithiasis: Our experience in its surgical management. Rev Gastroenterol Mex. 2017;82(4):287-295.
Bennett C, Hewko J. Cholecystoduodenal fistula: Report of a case complicated by complete obliteration of the gallbladder. Am J Surg1952. 83(2): 228-32.
Beuran M, Ivanov I et al, Gallstone Ileus, Medical and Therapeuthic aspects, Journal of Medicine and Life, 2010; 3:365-371.
Braun KK, Cunninghamm KJ, Howell A. A rare case of cholecystoduodenal fistel with rapid distal gallstone migration. Am J Case Rep. 2021;22:0.
Cappell MS, Davis M. Characterization of Bouveret’s syndrome: a comprehensive review of 128 cases. Am J Gastroenterol. 2006;101(9):2139-2146.
Nuño-Guzmán CM, Marín-Contreras ME et al. Gallstone ileus, clinical presentation, diagnostic and treatment approach. World J Gastrointest Surg. 2016; 8(1): 65-76.
Doko M, Zovak M, Kopljar M et al. Comparison of surgical treatments of gallstone ileus: preliminary report. World J Surg. 2003;27:400-4.
Hussain Z, Ahmed MS, Alexander DJ et al. Recurrent recurrent gallstone ileus.Ann R Coll Surg Engl. 2010;92(5):e4-e6.
Kirchmayr W, Mühlmann G, Zitt M et al. Gallstone ileus: rare and still controversial. Am J Surg. 2005;189(2):189-193.
Lassandro F, Gagliardi N, Scuderi M et al. Gallstone ileus analysis of radiological findings in 27 patients. Eur J Radiol. 2004;50(1):23-29.
Nakao A, Okamoto Y, Sunami M et al. The diagnosis of gallstone ileus: a review of 176 cases. Am J Surg. 2006;191(2):206-210.
Reisner RM, Cohen JR. Gallstone ileus: a review of 1001 reported cases. Am Surg. 1994;60(6):441-446.
Rigler LG, Borman CN, Noble JF. Gallstone obstruction: pathogenesis and roentgen manifestations. JAMA. 1941;117(21):1753-1759.
Sahsamanis G, Maltezos K, Dimas P et al. Bowel obstruction and perforation due to a large gallstone. A case report. Intern J Surg Case Report.2016; 26:193-196.
Stagnitti et al. Spontaneous biliodigestive fistulae. The clinical considerations, surgical treatment and complications.” Giornale di Chirurgia 2000, 21(3),110-117.
Young A,Yusuf GT,Fang Ch. Cholecystoduodenal fistula identified on oral contrast-enhanced ultrasound. J Ultrasound. 2020; 7;25(2):339-342.
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Journal Bulgarian Medical Journal (Български медицински журнал / Bulgarian Medical Journal)
