Abstract

Case Report

Gallstone Ileus with associated perforated small bowel diverticulitis

Shreeja Mehrotra*, Yang Huang, Ronan Knittel and Palan Thirunavukkarasu

Published: 16 July, 2021 | Volume 5 - Issue 2 | Pages: 021-022

Gallstone ileus is a rare complication of cholelithiasis and a type of mechanical obstruction involving impaction of a gallstone within the intestinal tract [1,2]. This entity occurs in 0.15% - 1.5% of cholelithiasis cases and < 0.1% of ileus cases overall [1]. Gallstone ileus is more common in the elderly and up to 80% - 90% of affected patients have medical comorbidities [2]. The ratio of occurrence in females to males is 3.5:1 [3].

The following report presents a case of gallstone ileus with associated perforated small bowel diverticulitis, demonstrating the importance of considering this condition as a differential diagnosis of an acute abdomen.

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References

  1. Inukai K. Gallstone ileus: a review. BMJ Open Gastroenterol. 2019; 6: e000344. PubMed:https://pubmed.ncbi.nlm.nih.gov/31875141/
  2. Nuno-Guzman CM, Marin-Contreras ME, Figueroa-Sanchez M, Corona JL. Gallstone ileus, clinical presentation, diagnostic and treatment approach. World J Gastrointest Surg. 2016; 8: 65-76. PubMed: https://pubmed.ncbi.nlm.nih.gov/26843914/
  3. Takahashi K, Kashimura H, Konno N, Nakagawa M, Kawahara Y, et al. Gallstone ileus with spontaneous evacuation: A case report. J Gen Fam Med. 2018; 19: 173-175. PubMed: https://pubmed.ncbi.nlm.nih.gov/30186731/
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  6. Lee CH, Yin WY, Chen JH. Gallstone ileus with jejunum perforation managed with laparoscopic-assisted surgery: rare case report and minimal invasive management. Int Surg. 2015; 100: 878-881. PubMed: https://pubmed.ncbi.nlm.nih.gov/26011209/
  7. Martin-Perez J, Bravo-Gutierrez A, Delgado-Plasencia L, Hernandez-Leon CN, Medina-Arana V. Jejunal diverticular perforation due to gallstone ileus. Rev Esp Enferm Dig. 2012; 104: 503-505. PubMed: https://pubmed.ncbi.nlm.nih.gov/23130865/
  8. Browning LE, Taylor JD, Clark SK, Karanjia ND. Jejunal perforation in gallstone ileus - a case series. J Med Case Rep. 2007; 1: 157. PubMed: https://pubmed.ncbi.nlm.nih.gov/18045463/

Figures:

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