Ileus due to gallstone: case report

Gallstones are seen in 10% of the adult population. Ileus due to gallstones is a rare complication of cholelithiasis, representing 1-4% of mechanical intestinal obstruction cases. It often occurs as a result of larger than 2.5 cm stones passing through the gastrointestinal system due to bilioenteric fistula, causing obstruction in an already narrow space in the lumen. We present a patient with known prior history of a 4- cm gallstone who developed ileus associated with the gallstone in the sigmoid colon.

Safra taşına bağlı ileus: olgu sunumu

Safra taşları yetişkin nüfusun %10’unda görülür. Safra taşına bağlı ileus kolelitiazisin nadir bir komplikasyonu olup, mekanik intestinal obstrüksiyon olgularının %1-4’ünü oluştur. Sıklıkla 2,5 cm üzerindeki taşların bilioenterik fistüle bağlı gastrointestinal sisteme geçmesi ve lümende dar olan bir alanda tıkanıklığa sebep olması ile meydana gelmektedir. Burada daha önceden bilinen 4 cm’lik safra kesesi taşı öyküsü olan bir olguda sigmoid kolonda safra taşına bağlı ileus gelişmesi nedeniyle sunuyoruz.

PDF

___

1. Abich E, Glotzer D, Murphy E. Gallstone Ileus: An Unlikely Cause of Mechanical Small Bowel Obstruction. Case Rep Gastroenterol. 2017; 11 (2): 389-95.

2. Bakhshi GD, Chincholkar RG, Agarwal JR, Gupta MR, Gokhe PS, Nadkarni AR. Gallstone ileus: dilemma in the management. Clin Pract. 2017; 7 (3): 977.

3. Reisner RM, Cohen JR: Gallstone ileus: a review of 1001 reported cases. Am Surg. 1994; 60 (6): 441-6.

4. Fox PF. Planning the operation for cholecystoenteric fistula with gallstone ileus. Surg Clin North Am. 1970; 50 (1): 93-102.

5. Ayantunde AA, Agrawal A. Gallstone ileus: diagnosis and management. World J Surg. 2007; 31 (6): 1292-7.

6. Sahsamanis G, Maltezos K, Dimas P, Tassos A, Mouchasiris C: Bowel obstruction and perforation due to a large gallstone. A case report. Int J Surg Case Rep. 2016; 26: 193-6.

7. Halabi WJ, Kang CY, Ketana N, et al. Surgery for gallstone ileus: a nationwide comparison of trends and outcomes. Ann Surg. 2014; 259 (2): 329-35.

8. Murray E, Collie M, Hamer-Hodges D. Colonoscopic treatment of gallstone ileus. Endoscopy. 2006; 38 (2): 197.

9. Roberts S, Chang C, Chapman T, Koontz JP, Early G. Colonoscopic removal of a gallstone obstructing the sigmoid colon. J Tenn Med Assoc. 1990; 83 (1): 18-9.