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Gallstone Ileus

Title: Gallstone Ileus: An Unlikely Cause of Mechanical Small Bowel Obstruction.
Name(s): Abich, Estela, author
Glotzer, Daniel, author
Murphy, Edward, author
Type of Resource: text
Genre: Journal Article
Date Issued: 2017-06-15
Physical Form: computer
online resource
Extent: 1 online resource
Language(s): English
Abstract/Description: Gallstone ileus is a rare disease that accounts for 1-4% of intestinal obstructions. Almost exclusively a condition in the older female population, it is a difficult diagnosis to make. We report the case of gallstone ileus in a 94-year-old Caucasian female, who presented to the emergency department with acute-onset nausea, coffee-ground emesis, lack of bowel movement, and abdominal distension. On CT scan, the diagnosis of gallstone ileus was made by the presence of a cholecystoduodenal fistula, pneumobilia, and small bowel obstruction. Emergent laparotomy with a one-stage procedure of enterolithotomy and stone removal by milking the bowel distal to the stone were performed. The postoperative course was uneventful until postoperative day 4 when the patient was found tachycardic, lethargic, and unresponsive. We reviewed the literature on the diagnosis and treatment of gallstone ileus.
Identifier: FSU_pmch_29033757 (IID), 10.1159/000475749 (DOI), PMC5637004 (PMCID), 29033757 (RID), 29033757 (EID), crg-0011-0389 (PII)
Keywords: Cholecystoduodenal fistula, Enterolithotomy, Gallstone ileus, Intestinal obstruction, Pneumobilia
Publication Note: This NIH-funded author manuscript originally appeared in PubMed Central at
Persistent Link to This Record:
Host Institution: FSU
Is Part Of: Case reports in gastroenterology.
Issue: iss. 2, vol. 11

Choose the citation style.
Abich, E., Glotzer, D., & Murphy, E. (2017). Gallstone Ileus: An Unlikely Cause of Mechanical Small Bowel Obstruction. Case Reports In Gastroenterology. Retrieved from