26 results match your criteria gallstone lodged

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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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Gallstone Dislodgement in the Airway during ERCP: A Case Report and Review of the Literature.

Case Rep Gastrointest Med 2020 20;2020:1519243. Epub 2020 Aug 20.

Tawam Hospital, Al Ain, UAE.

Endoscopic retrograde cholangiopancreatography (ERCP) is a diagnostic and therapeutic procedure with many studied complications. We are presenting a rare complication of ERCP in choledocholithiasis: gallstone dislodging into the airway upon retrieval. The patient is a 37-year-old female admitted with obstructive jaundice. Read More

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Acute Obstructive Choledocholithiasis: A Case of Elusive Gallstones on Imaging.

Cureus 2020 Jun 7;12(6):e8489. Epub 2020 Jun 7.

Gastroenterology, University of Miami, John F. Kennedy Regional Campus, Atlantis, USA.

Acute choledocholithiasis results when stones form in the gallbladder and then pass into the common bile duct, where they may become lodged and cause obstruction. To our knowledge, very few cases are reported in which multiple imaging techniques had failed to detect the presence of gallstones, as per current literature review. We report a case of a 73-year-old woman with nausea, vomiting, and jaundice who was found to have choledocholithiasis with negative imaging on abdominal ultrasound (US), CT, and magnetic resonance cholangiopancreatography (MRCP). Read More

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Gallstone ileus with spontaneous evacuation: A case report.

J Gen Fam Med 2018 Sep 31;19(5):173-175. Epub 2018 Jul 31.

Department of Gastroenterology Mito Saiseikai General Hospital Ibaraki Japan.

A 65-year-old man was referred to our hospital for abdominal pain. He had a history of enterotomy with stone extraction for gallstone ileus. On abdominal computed tomography, a stone measuring 32 × 28 mm lodged in the jejunum was identified. Read More

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September 2018

Toothpick inside the Common Bile Duct: A Case Report and Literature Review.

Case Rep Med 2017 5;2017:5846290. Epub 2017 Mar 5.

Digestive Surgery Department, Faculty of Medicine of Ribeirão Preto, University of São Paulo, Ribeirão Preto, SP, Brazil.

The incidence and prevalence of foreign body (FB) ingestion are difficult to estimate. Unlike other foreign bodies, the ingestion of a toothpick is very uncommon and carries high morbidity and mortality rates. We report a case of a 73-year-old female patient presenting mid-term epigastric pain. Read More

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[Gallstone ileus after endoscopic retrograde cholangiopancreatography].

Cir Cir 2017 Mar - Apr;85(2):154-157. Epub 2016 Jan 6.

Área de Cirugía General y Aparato Digestivo, Hospital Virgen de Altagracia de Manzanares, Ciudad Real, España.

Background: Gallstone ileus is caused by the exit of a gallstone from the gallbladder or bile duct into the small intestine, resulting in bowel obstruction if this stone becomes lodged in a small bowel loop.

Clinical Case: The case is presented of a 78 year-old woman with an episode of intestinal obstruction. After studying the main cause of the obstruction, it was decided to perform a laparotomy where a gallstone located in the terminal ileum was causing the obstruction. Read More

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Bouveret's Syndrome: An Overlooked Diagnosis. A Case Report and Review of Literature.

Int Surg 2014 Nov-Dec;99(6):819-23

1 Department of General Surgery, King Abdullah University Hospital (KAUH), Jordan University of Science and Technology (JUST), Irbid, Jordan.

Bouveret's syndrome is a rare cause of gastric outlet obstruction. Its diagnosis is often delayed or overlooked. It is characterized by the passage of a large gall bladder stone through a bilio-duodenal fistula, which becomes lodged in the duodenum causing duodenal obstruction. Read More

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Surgical clip migration following laparoscopic cholecystectomy as a cause of cholangitis.

J Surg Case Rep 2014 Apr 17;2014(4). Epub 2014 Apr 17.

Norfolk and Norwich University Hospital, Norwich, UK.

Gallstone disease is a common surgical presentation, and laparoscopic cholecystectomy is the favoured method of surgical management. Ligation of the cystic duct is usually performed with surgical clips, which have the potential to migrate into the common bile duct with time. This paper describes a case of cholangitis secondary to clip migration in a 42-year-old male patient 9 years after the initial laparoscopic cholecystectomy. Read More

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Pneumobilia: a case report and literature review on its surgical approaches.

J Surg Tech Case Rep 2013 Jan;5(1):27-31

Department of Surgery, Limerick University Hospital, Limerick, Co. Limerick, Ireland.

Gallstones ileus is an uncommon cause but important cause of small bowel obstruction. The gallstone enters the intestinal lumen via a fistula located in the duodenum (cholecystoduodenal), or rarely, in the colon (cholecystocolonic) or stomach (cholecystogastric). This may result in large bowel or gastric outlet obstruction (Bouveret's Syndrome). Read More

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January 2013

Endoscopic treatment for Bouveret syndrome.

Surg Endosc 2013 Feb 10;27(2):655. Epub 2012 Oct 10.

Department of Surgery, NorthShore University HealthSystem, Evanston, IL 60201, USA.

Background: Gallstone ileus is an uncommon cause for small bowel obstruction. Less than 3 % of cases are due to a gallstone impacted in the duodenum or pylorus resulting in a gastric outlet obstruction, described by Bouveret in 1896. Most of the successful therapeutic maneuvers described involve open surgical removal of the stone through either a gastrotomy or duodenotomy, and reported morbidity is not insignificant. Read More

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February 2013

[A rare cause of gastric outlet obstruction: Bouveret's syndrome].

Gastroenterol Hepatol 2008 Dec 7;31(10):646-51. Epub 2009 Jan 7.

Servicio de Gastroenterología, Unidad de Endocscopia Digestiva, Hospital Universitario Ramón y Cajal, Madrid, Spain.

Bouveret's syndrome is a rare type of gallstone ileus in which a gallstone enters the intestinal tract via a cholecystoenteric fistula and is lodged in the duodenum or the stomach. Since the first description by León Bouveret in 1896, fewer than 200 cases have been described in the worldwide literature. Mortality is high, at 25%, but may be related to the advanced age of the typical patient and comorbidities, as well as diagnostic delay. Read More

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December 2008

Chronic cholelithiasis with gallstones lodged in an isolated subserosal intramural gastric pouch.

West Indian Med J 2005 Jan;54(1):85-6

Department of Surgery, Maulana Azad Medical College and Lok Nayak Hospital, New Delhi- 110002, India.

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January 2005

The rendezvous technique for the treatment of choledocholithiasis.

Gastrointest Endosc 2001 Oct;54(4):511-3

Department of Gastroenterology, Galdakao Hospital, Vizcaya, Spain.

Background: The rendezvous technique combines endoscopy with percutaneous transhepatic cholangiography to facilitate cannulation of the bile duct when previous attempts have failed.

Methods: Over a 7-year period, a total of 1753 ERCPs were performed. Twelve of these patients with a diagnosis of choledocholithiasis were poor candidates for surgery. Read More

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October 2001

Semicircular papillotomy: a new surgical technique for removal of bile stones lodged in the ampulla of Vater.

Pediatr Surg Int 2001 Jul;17(5-6):406-9

Department of Pediatric Surgery, University of Tübingen, Germany.

Bile stones lodged in the ampulla of Vater present a rare but often difficult problem. Considering the disadvantages of conventional papillotomy and papillectomy, we developed a technique in which both the anatomic structures and their function are preserved. Histologic studies of the ampulla provided the basis for the technique, in which the muscular layers of the ampulla are not cut through as in conventional papillotomy but are bluntly separated, preserving this important anatomic component of the ampulla saved. Read More

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Intraperitoneal abscess after an undetected spilled stone.

Surg Endosc 2000 Jun 28;14(6):594. Epub 2000 Apr 28.

Second Department of Surgery, Democritus Thrace University, District General Hospital of Alexandroupolis, 19 Dimitras Str, 681 00 Alexandroupolis, Greece.

Gallbladder perforation with loss of calculi in the abdomen is frequent during laparoscopic cholecystectomy and can cause serious late complications. We report on a 65-year-old woman who underwent laparoscopic cholecystectomy for gallbladder empyema, during which a stone spilled into the peritoneal cavity. The spilled gallstone was not noticed during the initial operation. Read More

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Increased serum CA19-9 in patients with xanthogranulomatous cholecystitis.

Hepatogastroenterology 1998 Jan-Feb;45(19):77-80

Department of Surgery, Saiseikai Yahata General Hospital, Kitakyushu, Japan.

We present three cases of xanthogranulomatous cholecystitis (XGC) with an increased serum carbohydrate antigen 19-9 (CA19-9). All of the patients were elderly females and had gallstones lodged in the neck of the gallbladder. Preoperative serum CA19-9 levels were 709 U/ml, 87 U/ml, and 400 U/ml, respectively. Read More

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Indications for surgery in severe acute pancreatitis.

Int J Pancreatol 1994 Apr;15(2):83-90

Department of Surgery, Sepulveda VA Medical Center, CA.

The decision to operate on a patient with severe acute pancreatitis is often difficult and requires mature clinical judgment. Those indications that are widely accepted include: 1. For differential diagnosis, when the surgeon is concerned that the symptoms are the result of a disease other than pancreatitis for which operation is mandatory; 2. Read More

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Indications for surgery in necrotizing pancreatitis.

West J Med 1993 Dec;159(6):704-7

The decision to operate on a patient with severe acute pancreatitis is often difficult and requires mature clinical judgment. Indications that are widely accepted include to establish the differential diagnosis, when the surgeon is concerned that the symptoms are due to a disease other than pancreatitis for which an operation is mandatory; in persistent and severe biliary pancreatitis, when an obstructing gallstone is lodged in the ampulla of Vater and cannot be managed endoscopically; in the presence of infected pancreatic necrosis; and to drain a pancreatic abscess, if percutaneous drainage does not produce the desired result. Other indications that are less well defined and somewhat controversial are the presence of sterile pancreatic necrosis involving 50% or more of the pancreas, when the pancreatitis persists despite maximal medical therapy, and when a patient's condition deteriorates. Read More

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December 1993

Biliary extracorporeal shock wave lithotripsy in the treatment of an impacted stone in bile duct diverticulum.

Gastrointest Radiol 1990 ;15(4):317-9

Department of Radiology, University of British Columbia, Vancouver, Canada.

A calcified, retained stone impacted in a diverticulum of the distal common bile duct was successfully treated with biliary extracorporeal shock wave lithotripsy (BESWL). The stone fragments spontaneously passed within 1 week of lithotripsy treatment without the aid of further intervention. This case is unusual in that the stone lodged in a bile duct diverticulum proved inaccessible at the time of surgical exploration. Read More

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October 1990

Gastric retention caused by gallstones (Bouveret's syndrome).

Acta Chir Scand 1983 ;149(2):207-8

A case of gastric retention caused by gallstones (Bouveret's syndrome) is reported. One of the two causal stones was lodged in the pylorus and the other in the cap of the duodenum. Preoperatively a fistula was demonstrated between the gallbladder and the pylorus. Read More

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September 1983

Endoscopic lithotripsy in the common bile duct.

Gastrointest Endosc 1980 Feb;26(1):16-8

Electrohydraulic lithotripsy of stones lodged in the common bile ducts of human patients has been successfully accomplished. For this purpose, the lithotripsy probe was integrated with a Dormia basket. Common duct stones not otherwise amenable to release by endoscopic papillotomy can be removed by this procedure. Read More

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February 1980

Retained bile duct stones.

Acta Chir Scand 1976 ;142(2):145-9

Residual bile duct stones were found in 69 out of 4078 patients subjected to cholecystectomy. In 5 of these patients the outcome of the residual stones was unknown, but in 64 patients the complete course of events could be followed. In 32 patients the stone(s) were lodged in the intrahepatic ducts; in 15 patients the stones were overlooked owing to incomplete or technically unfeasible post-explorative cholangiographies; in 12 patients the stones were not visualized in good peroperative cholangiograms and in 5 patients the stones were misinterpreted as air bubbles. Read More

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September 1976

[Biliary calculus lodged in the duodenal bulb].


J Radiol Electrol Arch Electr Medicale 1950 ;31(11-12):717-8

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February 2004
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