Abstract
Gallstone ileus is a complication of biliary tree stones and was first described by Bartholin in 1654. In any localization, one or more gallstones may occlude as a result of access to the gastrointestinal tract via the bilioenteric fistula. In this article, we aimed to present a rare and operate with gallstone ileus cases of radiological and surgical imaging findings. A 74-year-old male patient presented with complaints of right upper quadrant pain, nausea, vomiting, and constipation in the last few days of the emergency department. Radiographical and computed tomography examination was done. The patient was urgently operated with gallstones. The ileal stone was removed in addition to cholecystectomy in the operation, and the cholecystododenal fistula detected during the operation was repaired. Gallstone ileus is an uncommon cause of a mechanical small bowel obstruction. Gallstone ileus should also be kept in mind in the elderly patients who have recurrent abdominal operation history with abdominal obesity findings of the omentum. In our case, we wanted to emphasize the importance of the radiological approach in diagnosing gallstone ileus disease in elderly patients with diabetes mellitus.
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Doko M, Zovak M, Kopljar M, Glavan E, Ljubicic N, Hochstädter H (2003) Comparison of surgical treatments of gallstone ileus: preliminary report. World J Surg 27(4):400–404
Way LW (1994) Surgical diagnosis and treatment. Biliary tract. Current. 10th edition; Appleton and Lange 553–554
Muratori R et al (2012) Colonic gallstone ileus treated with radiologically guided extracorporeal shock wave lithotripsy followed by endoscopic extraction. Endoscopy 44:E88–E89
O’Brien JW, Webb L-A, Evans L, Speakman C, Shaikh I (2017) Gallstone ileus caused by cholecystocolonic fistula and gallstone impaction in the sigmoid colon: review of the literature and novel surgical treatment with trephine loop colostomy. Gastroenterol 11:95–102
Hasan Y, Tuğbahan Y, Ali E, Arzu K (2010) Gallstone ileus: flat radiography and computed tomography findings. Acıbadem University Journal of Health Sciences Volume: 1 Issue: 3
Naime A, Zafer K, Özlem A, Şenay D, Sedat B (2011) Multidetector computed tomography diagnosis of ileal and antropyloric gallstone ileus. Turk J Trauma Emerg Surg 17(5):461–463
Anwar SL, Handoko HP, Avanti WS et al (2019) Int J Surg Case Rep 63:104–107
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Turkoglu, S., Goya, C. & Kalayci, T. Direct X-ray and CT Findings of GallStone Ileus. Indian J Surg 82, 956–958 (2020). https://doi.org/10.1007/s12262-020-02135-9
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DOI: https://doi.org/10.1007/s12262-020-02135-9