1,131 results match your criteria gallstone ileus


Gallstone Ileus with COVID-19 Infection: An Unintended Sequela of Non-Operative Management of Acute Cholecystitis During the COVID-19 Pandemic.

Clin Case Rep 2021 Jul 19;9(7):e04275. Epub 2021 Jul 19.

Department of Surgery Howard University Hospital and College of Medicine Washington DC USA.

Appropriate risk stratification and careful follow-up are mandated in elderly patients with comorbidities. Herein, we report a case presenting 5 months after the nonoperative management of acute cholecystitis during the height of the COVID-19 pandemic. Read More

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Abdominal distention and vomiting in 57-year-old man.

Am J Med 2021 Jul 14. Epub 2021 Jul 14.

Division of Gastroenterology and Hepatology, Taichung Armed Forces General Hospital, Taichung, Taiwan. Electronic address:

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Laparoscopic management of gallstone ileus: A case report and literature review.

Int J Surg Case Rep 2021 Jul 7;85:106171. Epub 2021 Jul 7.

Department of Digestive Surgery, Florida Hospital, Santiago, Chile.

Introduction And Importance: Gallstone ileus is an uncommon complication of cholelithiasis. It is usually presented as a small bowel obstruction. Elderly patients are commonly affected. Read More

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Surgical management of cholecystoduodenal fistula complicated by ileus (Mirizzi syndrome type Vb). A case report.

Ann Ital Chir 2021 Apr 12;10. Epub 2021 Apr 12.

Mirizzi Syndrome (MS) is a rare gallbladder disease described by Argentine surgeon, Pablo Luis Mirizzi in 1948. It concerns a wide range of clinical manifestations, including gallstone obstruction of the intestine. The modified classification by Csendes distinguishes five types of MS. Read More

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An Unusual Case of Mirizzi Syndrome With Double Spontaneous Gallbladder Fistulas With the Colon and the Duodenum Presenting As Acute Cholecystitis.

Cureus 2021 Jun 28;13(6):e15978. Epub 2021 Jun 28.

Third Department of Surgery, Attikon University Hospital, National & Kapodistrian University of Athens Medical School, Chaidari-Athens, GRC.

The Mirizzi syndrome is amongst the rarest complications of long-standing gallstone disease. It is an even rarer occurrence when concurrent with a cholecystoenteric or cholecystoduodenal fistula and might not include an accompanying gallstone ileus. Chronic cholecystitis is the primary etiology, but pre-operative diagnosis is challenging due to its non-specific symptoms compared with acute cholecystitis. Read More

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Corrigendum to: A rare case of gallstone ileus-the unanswered question.

Authors:
Chi Fai Tsang

J Surg Case Rep 2021 Jun 4;2021(6):rjab250. Epub 2021 Jun 4.

Department of General Surgery, Prince of Wales Hospital and Community Health Services, Sydney, New South Wales 2002, Australia.

[This corrects the article DOI: 10.1093/jscr/rjab164.]. Read More

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Surgical Management of Gallstone Ileus in Low-Settings Hospital during COVID-19 Outbreak: A Case Report.

Surg J (N Y) 2021 Apr 25;7(2):e54-e58. Epub 2021 May 25.

University of Baghdad, Baghdad, Iraq.

 Gallstone ileus is a very infrequent complication of cholelithiasis in which single or multiple stones pass through an abnormal fistula to the lumen of the intestine leading to a true mechanical obstruction. We are reporting a case of a female who developed intestinal obstruction due to gallstones during the coronavirus disease 2019 (COVID-19) outbreak and was managed urgently surgically in a low-settings hospital.  An 85-year-old white female with 40 years history of gallstone disease, hypertension, and type-2 diabetes presented to the accidents and emergency unit with upper central crampy abdominal pain for 5 days associated with green color vomiting and absolute constipation. Read More

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How correct is the postponed cholecystectomy during the coronavirus disease-19 pandemic process? Gallstone ileus is not a myth anymore.

Cir Cir 2021 ;89(3):390-393

Department of General Surgery, University of Health Sciences, Haseki Training and Research Hospital, Istanbul, Turkey.

Posponer cirugías electivas durante el proceso pandémico de Covid-19 aumentó el riesgo de complicaciones graves de enfermedades benignas. El íleo biliar es una de las raras complicaciones de la colelitiasis (0,3-0,5%). Los episodios recurrentes de colecistitis aguda están involucrados en la fisiopatología. Read More

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Large bowel obstruction secondary to gallstones.

J Surg Case Rep 2021 May 18;2021(5):rjab137. Epub 2021 May 18.

Department of Surgery, Lehigh Valley Health Network, Allentown, PA, USA.

Gallstone ileus is a rare complication of cholelithiasis, representing 1% of bowel obstructions. The usual site of obstruction is the ileocecal valve, though other sites have been reported. Here, we present two cases of gallstone ileus within the distal colon requiring surgical intervention. Read More

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A rare case of gallstone ileus-the unanswered question.

Authors:
Chi Fai Tsang

J Surg Case Rep 2021 Apr 29;2021(4):rjab164. Epub 2021 Apr 29.

Department of General Surgery, Prince of Wales Hospital and Community Health Services, Sydney, New South Wales 2002, Australia.

Gallstone ileus is caused by an impaction of one or more gallstones within the gastrointestinal tract leading to mechanical intestinal obstruction. It is a rare complication of cholelithiasis and found in 2-3% of all cases associated with recurrent episodes of cholecystitis. This case study demonstrates an atypical presentation of gallstone ileus. Read More

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Recurrent intestinal obstruction due to gallstone ileus during same hospital admission: a case report and literature review.

J Surg Case Rep 2021 Apr 30;2021(4):rjab024. Epub 2021 Apr 30.

Department of Surgery, King Abdulaziz Medical City, Ministry of National Guard-Health Affairs, Riyadh, Saudi Arabia.

Gallstone ileus (GSI) is an uncommon entity that causes obstruction of the intestinal lumen due to gallstones. It affects mainly the elderly with multiple comorbidities, leading to a high mortality rate. In this case, an 81-year-old woman was admitted due to GSI. Read More

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Cholecystoduodenal fistula resulting in gallstone ileus: A path paved by stone.

Clin Case Rep 2021 Apr 9;9(4):2479-2480. Epub 2021 Mar 9.

Recanati/Miller Transplantation Institute Division of Abdominal Transplantation Department of Surgery Icahn School of Medicine at Mount Sinai New York NY USA.

This report showcases the initial management of gallstone ileus which includes proper biliary assessment to assist with operative planning. While an uncommon condition, surgical management is crucial, although methodology may be variable. Read More

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Endoscopic lithotripsy for Bouveret syndrome complicated by small bowel obstruction secondary to gallstone fragments.

J Surg Case Rep 2021 Apr 19;2021(4):rjab118. Epub 2021 Apr 19.

Department of Upper Gastrointestinal Surgery, Concord Repatriation General Hospital, Hospital Rd, Concord, New South Wales, Australia.

Bouveret syndrome is a rare complication of cholecystitis, in which impaction of a gallstone creates a cholecystoduodenal fistula leading to gastric outlet obstruction. We report a case of a 90-year-old female who presented with nausea and vomiting on a background of previous necrotic cholecystitis managed conservatively. Computed tomography of the abdomen demonstrated a large gallstone impacted in the third part of the duodenum leading to gastric outlet obstruction. Read More

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Gallstone Ileus Treated by Incidental Meckel's Diverticulectomy.

Cureus 2021 Mar 24;13(3):e14078. Epub 2021 Mar 24.

Department of Surgery, West Virginia University, Martinsburg, USA.

Gallstone ileus is an uncommon cause of intestinal obstruction in the elderly. It is typically recognized on computed tomography by the presence of pneumobilia and a gallstone in the right iliac fossa. Nonetheless, it is important to consider that gallstone ileus may represent the presentation of another pathology rather than an entity on its own. Read More

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Bouveret Syndrome: A Rare Form of Gallstone Ileus.

Cureus 2021 Mar 22;13(3):e14042. Epub 2021 Mar 22.

Internal Medicine, Lewis Gale Medical Center, Salem, USA.

Bouveret's syndrome is a rare variant of gallstone ileus characterized by a gastric outlet obstruction due to the impaction of a gallstone lodged in the duodenum, resulting from a cholecystoduodenal fistula. It accounts for only one to three percent of cases of gallstone ileus. We examine a case of Bouveret syndrome in an elderly Japanese female who presented with vomiting and decreased oral intake. Read More

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A Rare Case of Cholecystoduodenal Fistula with Rapid Distal Gallstone Migration.

Am J Case Rep 2021 Apr 19;22:e929150. Epub 2021 Apr 19.

Department of General Surgery, Ascension Michigan Genesys Hospital, Grand Blanc, MI, USA.

BACKGROUND Abnormal communicating channels or fistulas between the gallbladder or common bile duct and the intestine are rare, but have potential to result in serious complications. Further complications can arise with migration of gallstones from the gallbladder to the intestines, causing distal obstruction in the ileum, intestinal hemorrhage, or intestinal perforation. High clinical suspicion is warranted for the diagnosis of Bouveret's syndrome, with anticipation of surgery to prevent distal gallstone migration that would otherwise result in unfavorable patient outcomes. Read More

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Role of laparoscopy in the treatment of internal biliary fistulas in a high-volume center and a review of the literature.

Surg Endosc 2021 Mar 31. Epub 2021 Mar 31.

Department of General Surgery, Hospital Italiano de Buenos Aires, Juan D. Perón 4190, C1199ABH, Buenos Aires, Argentina.

Background: Biliary fistulas may result as a complication of gallstone disease. According to their tract, abdominal internal biliary fistulas may be classified into cholecystobiliary and bilioenteric fistulas. Surgical treatment is challenging and requires highly trained surgeons with high preoperative suspicion. Read More

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A rare complication of cholecystolithiasis: perforation of the gallbladder.

J Ultrason 2021 8;21(84):63-66. Epub 2021 Mar 8.

Radiology Department, Western Hospital in Grodzisk Mazowiecki, Poland.

Common complications of cholelithiasis include gallbladder inflammation, cholangitis, and acute pancreatitis. On the other hand, rare complications include gallbladder carcinoma, gallstone ileus, Mirizzi syndrome and gallbladder perforation. Some patients with cholecystitis do not require hospitalization. Read More

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Gallstone ileus after recent cholecystectomy. Case report and review of the literature.

Int J Surg Case Rep 2021 Feb 27;79:470-474. Epub 2021 Jan 27.

Department of Surgery, Hospital "Dr. Jesús Gilberto Gómez Maza", Chiapas, 29045, México.

Introduction And Importance: Gallstone ileus in cholecystectomized patients is very infrequent and when it happens shortly after surgery is even rarer. We report the case of a patient who presented Gallstone ileus few days after open cholecystectomy which has not been reported before in literature.

Case Presentation: A 52-year-old male with a history of recent open cholecystectomy was referred to our center due to a presumable surgical complication. Read More

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February 2021

Case report - Bouveret's syndrome with pancreatitis: A rare combination.

Int J Surg Case Rep 2021 Apr 27;81:105713. Epub 2021 Feb 27.

General Surgery, St John of God Midland Hospital, 1 Clayton Street, Midland, 6056 Western Australia, Australia. Electronic address:

Introduction And Importance: Bouveret's syndrome is characterised by gastric outlet obstruction due to impaction of gallstone in the duodenum through a cholecystoduodenal fistula, having concurrent pancreatitis makes it an even rarer presentation.

Case Presentation: We present an 82-year-old woman who presented with acute pancreatitis which she described 2 days of right upper quadrant pain with nausea and vomiting. Biliary obstruction signs were not present. Read More

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Bouveret syndrome: A series of cases that illustrates a rare complication of chronic cholelithiasis.

Ann Hepatobiliary Pancreat Surg 2021 Feb;25(1):139-144

Department of Radiology, The Jewish Hospital of Cincinnati, Cincinnati, OH, USA.

Bouveret syndrome is defined as gastric outlet obstruction secondary to the impaction of a large gallstone in the proximal gastrointestinal tract. The obstruction occurs as result of a bilio-enteric or bilio-gastric fistula. This clinical entity is a rare variant of the more commonly recognized gallstone ileus, which tends to cause small bowel obstruction of the terminal ileum. Read More

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February 2021

Role of magnetic resonance imaging in Bouveret's syndrome: A case report with review of the literature.

Clin Imaging 2021 Sep 23;77:43-47. Epub 2021 Feb 23.

Department of Medical Imaging, University of Arizona, Tucson, AZ, USA.

Bouveret's syndrome is a rare form of gallstone ileus occurring due to obstructing gallstone into the proximal duodenum through a cholecystoduodenal fistula. We report the case of a 72-year-old female presenting with abdominal pain secondary to a large gallstone in the region of the duodenal bulb, causing the upstream gastric obstruction. Here we discuss the clinical features, imaging technologies, and surgical management of Bouveret's syndrome. Read More

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September 2021

Gallstone Ileus.

Chonnam Med J 2021 Jan 25;57(1):91-92. Epub 2021 Jan 25.

Department of Medicine, Southend University Hospital NHS Trust, Westcliff-on-Sea, United Kingdom.

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January 2021

Bouveret syndrome: a rare form of gallstone ileus.

BMJ Case Rep 2021 Feb 1;14(2). Epub 2021 Feb 1.

Pediatric Surgery, Montana Children's, Kalispell, Montana, USA

A 57-year-old woman presented with a 5-day history of worsening right upper quadrant pain, bilious emesis and approximately 20 pounds of weight loss. The patient was afebrile, without jaundice and had mild tenderness in her right upper quadrant. She noted an incidental finding of asymptomatic cholelithiasis on imaging 4 years earlier. Read More

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February 2021

A Unique Presentation of Bouveret's Syndrome: Two Large Gallstones Obstructing Both the Gastric Outlet and the Common Bile Duct Simultaneously.

Case Rep Surg 2021 16;2021:8869803. Epub 2021 Jan 16.

Saint Louis University School of Medicine, St. Louis, MO, USA.

Bouveret's syndrome refers to a gastric outlet obstruction secondary to impaction of a gallstone in the pylorus or proximal duodenum. Thus, it can be considered a very proximal form of gallstone ileus and is infrequent. We describe such a unique case that a female patient presents with Bouveret's syndrome and concomitant common bile duct obstruction by a second gallstone. Read More

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January 2021

Gallstone Ileus: Uncommon Presentation Followed by Less Common Spontaneous Resolution.

Cureus 2020 Dec 18;12(12):e12138. Epub 2020 Dec 18.

General Surgery, North Manchester General Hospital, Manchester, GBR.

Gallstone ileus is a rare but significant cause of bowel obstruction. An 82-year-old female was admitted to the hospital with abdominal pain and was initially treated for a possible urinary tract infection. Following a surgical review and based on history, clinical examination as well as radiological findings, a diagnosis of gallstone ileus was made. Read More

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December 2020

Gallstone ileus in a patient with amyotrophic lateral sclerosis: A case report.

Int J Surg Case Rep 2021 Feb 16;79:210-214. Epub 2021 Jan 16.

St. Joseph's University Medical Center, Dept of Surgery, 703 Main St., Paterson, NJ, 07503, USA.

Introduction And Importance: Gallstone ileus is a rare disease that most commonly occurs in elderly females with a history of cholelithiasis. It has not been previously associated with Amyotrophic Lateral Sclerosis (ALS); a neurodegenerative disease that primarily affects the motor neurons at the spinal and bulbar levels. Autonomic malfunction, in particular, gastrointestinal dysfunction has been documented in ALS patients which may predispose this population to the development of gallstones and gut dysmotility. Read More

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February 2021

Endoscopic Diagnosis of Bouveret Syndrome.

Case Rep Gastroenterol 2020 Sep-Dec;14(3):683-686. Epub 2020 Dec 14.

Klinik und Poliklinik für Innere Medizin II, Klinikum rechts der Isar der Technischen Universität München, Munich, Germany.

Bouveret syndrome is a form of gallstone ileus and a rare complication of chole(cysto)lithiasis. It describes gastric outlet obstruction secondary to an impacted gallstone. Here, we report a case of an 82-year-old female patient with gastric outlet obstruction and penetration of gallstones into the duodenal bulb on endoscopic imaging. Read More

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December 2020

Bouveret syndrome: a clinicoradiological perspective.

BMJ Case Rep 2020 Dec 22;13(12). Epub 2020 Dec 22.

Radiology, Sheffield Teaching Hospitals NHS Foundation Trust, Sheffield, UK.

An 87-year-old woman presented to us with a 5-day history of worsening epigastric pain and vomiting. Her medical history included known gallstones and a previous episode of acute cholecystitis complicated by a perforated gallbladder for which she had declined surgery 5 years prior. Radiological imaging confirmed a large gallstone impacted in the first part of the duodenum with gross gastric outlet obstruction and pneumobilia, confirming the diagnosis of Bouveret syndrome, an often overlooked and rare variant of gallstone ileus. Read More

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December 2020