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Órgano Oficial de la Asociación Mexicana de Hepatología
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2008, Number 3

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Ann Hepatol 2008; 7 (3)

Gallstone ileus one quarter of a century post cholecystectomy

Saedon M, Gourgiotis S, Salemis NS, Majeed AW, Zavos A
Full text How to cite this article

Language: Spanish
References: 5
Page: 258-259
PDF size: 110.32 Kb.


Key words:

Gallstone, ileus, cholecystectomy.

Text Extraction

Gallstone ileus is a rare but potentially serious complication of cholelithiasis. It is usually preceded by history of biliary symptoms. It usually occurs as a result of a large gallstone creating and passing through a cholecysto-enteric fistula. Most of the time, the stone will pass the GI tract without any problems, but large enough stones can cause obstruction. The two most common locations of impaction are the terminal ileum and the ileocaecal valve because of the anatomical small diameter and less active peristalsis. We present an unusual case of small bowel obstruction secondary to gallstone ileus 24 years after an open cholecystectomy.


REFERENCES

  1. Reisner RM, Cohen JR. Gallstone ileus: a review of 1,001 reported cases. Am Surg 1994; 60: 441-6.

  2. Rodriguez HJI, Codina CA, Girones VJ, Roig GJ, Figa FM, Acero FD. Gallstone Ileus: results of analysis of series of 40 patients. Gastroenterol Hepatol 2001; 24: 489-94.

  3. Yu CY, Lin CC, Shyu RY, Hsieh CB, Wu HS, Tyan YS, Hwang JI, et al. Value of CT in the diagnosis and management of gallstone ileus. World J Gastroenterol 2005; 11: 2142-7.

  4. Lichten JB, Tehrani K, Sekons D. Laparoscopic assisted enterolithotomy for gallstone ileus in an atypical location. Surg Endosc 2003; 17: 1496-7.

  5. Clavien PA, Richon J, Burgan S, Rohner A. Gallstone ileus. Br J Surg 1990; 77: 737-42.




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Ann Hepatol. 2008;7