Jump to ContentJump to Main Navigation
Show Summary Details
More options …

Polish Journal of Surgery

The Journal of Foundation of the Polish Journal of Surgery

12 Issues per year


CiteScore 2016: 0.29

SCImago Journal Rank (SJR) 2016: 0.166
Source Normalized Impact per Paper (SNIP) 2016: 0.207

Open Access
Online
ISSN
0032-373X
See all formats and pricing
More options …
Volume 83, Issue 4 (Apr 2011)

Issues

Non-Operative Treatment for Gall-Stone Ileus - A Case Report

Igor Mishin
  • First Department of Surgery "N. Anestiadi" and Laboratory of Hepato-Pancreato-Biliary Surgery, National Center of Emergency Medicine, Medical University "N. Testemitsanu", Kishinev
  • Other articles by this author:
  • De Gruyter OnlineGoogle Scholar
/ Gheorghe Ghidirim
  • First Department of Surgery "N. Anestiadi" and Laboratory of Hepato-Pancreato-Biliary Surgery, National Center of Emergency Medicine, Medical University "N. Testemitsanu", Kishinev
  • Other articles by this author:
  • De Gruyter OnlineGoogle Scholar
/ Gheorghe Zastavnitsky
  • First Department of Surgery "N. Anestiadi" and Laboratory of Hepato-Pancreato-Biliary Surgery, National Center of Emergency Medicine, Medical University "N. Testemitsanu", Kishinev
  • Other articles by this author:
  • De Gruyter OnlineGoogle Scholar
Published Online: 2011-06-07 | DOI: https://doi.org/10.2478/v10035-011-0034-4

Non-Operative Treatment for Gall-Stone Ileus - A Case Report

Gall-stone intestinal obstruction (GSO) is an unusual form of mechanical obstruction and a rare complication of cholelithiasis. The treatment options are controversial, usually the management is surgical but associated with significant morbidity and mortality. A spontaneous evacuation of the gall-stone that had induced GSO is even more exceptional, only few reports being published up to date. We report the case of an 81-year-old female patient presenting GSO admitted to our department due to abdominal pain and vomiting. Computed tomography revealed pneumobilia, distention of the ileum and a calcified mass in the small bowel lumen. The diagnosis of GSO was established, but since the gall-stone was <25 mm and severe cardiorespiratory co-morbidities conservative treatment was initiated and spontaneous evacuation of the gall-stone was obtained. Diagnostic and management modalities of GSO as well as literature reviews are reported.

Keywords: gall-stones; cholecystoenteric fistula; gall-stone ileus; spontaneous evacuation

  • Lassandro F, Gagliardi N, Scuderi M et al.: Gall-stone ileus analysis of radiological findings in 27 patients. Eur J Radiol 2004; 50: 23-29.PubMedCrossrefGoogle Scholar

  • Nakao A, Okamoto Y, Sunami M et al.: The oldest patient with gallstone ileus: report of a case and review of 176 cases in Japan. Kurume Med J 2008; 55: 29-33.CrossrefGoogle Scholar

  • Kirchmayr W, Mühlmann G, Zitt M et al.: Gall-stone ileus: rare and still controversial. ANZ J Surg 2005; 75: 234-38.CrossrefPubMedGoogle Scholar

  • Reisner RM, Cohen JR: Gall-stone ileus: a review of 1001 reported cases. Am Surg 1994; 60: 441-46.Google Scholar

  • Ayantunde AA, Agrawal A: Gall-stone ileus: diagnosis and management. World J Surg 2007; 31: 1292-97.PubMedGoogle Scholar

  • Ihara E, Ochiai T, Yamamoto K et al.: A case of gall-stone ileus with a spontaneous evacuation. Am J Gastroenterol 2002; 97: 1259-60.CrossrefGoogle Scholar

  • Farooq A, Memon B, Memon MA: Resolution of gall-stone ileus with spontaneous evacuation of gallstone. Emerg Radiol 2007; 14: 421-23.PubMedCrossrefGoogle Scholar

  • Wysocki AP, N ath J, McGowan B: Spontaneous resolution (and other rarities) of gall-stone ileus. ANZ J Surg 2009; 79: 958-59.Web of ScienceCrossrefGoogle Scholar

  • Zuegel N, Hehl A, Lindemann F et al.: Advantages of one-stage repair in case of gall-stone ileus. Hepatogastroenterology 1997; 44: 59-62.Google Scholar

  • Lassandro F, Romano S, Ragozzino A et al.: Role of helical CT in diagnosis of gall-stone ileus and related conditions. AJR Am J Roentgenol 2005; 185: 1159-65.Google Scholar

  • Dittrich K, Weiss H: Ileus of the small intestine caused by a lost gall-stone! A late complication of laparoscopic cholecystectomy. Chirurg 1995; 66: 443-45.PubMedGoogle Scholar

  • Pavlidis TE, Atmatzidis KS, Papaziogas BT et al.: Management of gall-stone ileus. J Hepatobiliary Pancreat Surg 2003; 10: 299-302.Google Scholar

  • Abou-Saif A, Al-Kawas FH: Complications of gall-stone disease: Mirizzi syndrome, cholecystocholedochal fistula, and gallstone ileus. Am J Gastroenterol 2002; 97: 249-54.CrossrefGoogle Scholar

  • Kasahara Y, Umemura H, Shiraha S et al.: Gall-stone ileus. Review of 112 patients in the Japanese literature. Am J Surg 1980; 140: 437-40.Google Scholar

  • Yu CY, Lin CC, Shyu RY et al.: Value of CT in the diagnosis and management of gall-stone ileus. World J Gastroenterol 2005; 11: 2142-47.PubMedGoogle Scholar

  • Doko M, Zovak M, Kopljar M et al.: Comparison of surgical treatments of gall-stone ileus: preliminary report. World J Surg 2003; 27: 400-04.PubMedCrossrefGoogle Scholar

  • Rodríguez-Sanjuán JC, Casado F, Fernández MJ et al.: Cholecystectomy and fistula closure versus enterolithotomy alone in gall-stone ileus. Br J Surg 1997; 84: 634-37.Google Scholar

  • Clavien PA, Richon J, Burgan S et al.: Gall-stone ileus. Br J Surg 1990; 77: 737-42.Web of ScienceGoogle Scholar

About the article


Published Online: 2011-06-07

Published in Print: 2011-04-01


Citation Information: Polish Journal of Surgery, ISSN (Print) 0032-373X, DOI: https://doi.org/10.2478/v10035-011-0034-4.

Export Citation

This content is open access.

Citing Articles

Here you can find all Crossref-listed publications in which this article is cited. If you would like to receive automatic email messages as soon as this article is cited in other publications, simply activate the “Citation Alert” on the top of this page.

[1]
Márcia Cristina de Alencastro, Kaio Toledo Cardoso, Cecília Araújo Mendes, Yuri Longatto Boteon, Rodrigo Barros de Carvalho, and Gustavo Pereira Fraga
Revista do Colégio Brasileiro de Cirurgiões, 2013, Volume 40, Number 4, Page 275

Comments (0)

Please log in or register to comment.
Log in