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Techniques in Coloproctology

, Volume 22, Issue 8, pp 605–606 | Cite as

Laparoscopic management of sigmoid colon gallstone ileus

  • Carlotta Ferretti
  • David Fuks
  • Philippe Wind
  • Alban Zarzavadjian Le Bian
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Abstract

Gallstone ileus is an uncommon clinical presentation of complicated biliary lithiasis that mostly occurs in the elderly without specific signs. Various types of surgical management have been proposed: primary enterolithotomy, enterolithotomy, cholecystectomy and fistula closure (one stage), or enterolithotomy with delayed cholecystectomy (two stage). All are associated with a high complication rate. We present a video of a laparoscopic cololithotomy for gallstone ileus caused by a gallstone impacted in the sigmoid colon. As a safe and feasible procedure, enterolithotomy appears to be the treatment of choice based on the scientific literature, especially in frail patients. However, except in case of an impacted gallstone in a colorectal cancer, colon resection is not mandatory. Further surgery (such as cholecystectomy or colectomy in benign disease such as diverticulosis) may be selectively considered.

Keywords

Gallstones Laparoscopy Ileus 

Notes

Compliance with ethical standards

Conflict of interest

CF, DF, PW, and AZLB have no conflict of interest considering this manuscript.

Ethical approval

All procedures in studies involving human participants were in accordance with the ethical standards of the local research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

Informed consent

Informed consent to publication of the video and images in this article was obtained from the concerned patient.

References

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    Reisner RM, Cohen JR (1994) Gallstone ileus: a review of 1001 reported cases. Am Surg 60:441–446PubMedGoogle Scholar
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    Nuno-Guzman CM, Marin-Contreras ME, Figueroa M, Corona JL (2016) Gallstone ileus, clinical presentation, diagnostic and treatment approach. World J Gastrointest Surg 8:65–76CrossRefPubMedPubMedCentralGoogle Scholar

Copyright information

© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  • Carlotta Ferretti
    • 1
  • David Fuks
    • 1
    • 2
  • Philippe Wind
    • 3
  • Alban Zarzavadjian Le Bian
    • 3
  1. 1.Department of Digestive DiseaseMutualiste Montsouris InstituteParisFrance
  2. 2.Paris Descartes UniversityParisFrance
  3. 3.Department of Digestive Surgery and Surgical Oncology, Avicenne HospitalUniversity of Paris XIIIBobignyFrance

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