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

• Authors: Igor Mishin , Gheorghe Ghidirim , Gheorghe Zastavnitsky
• Languages of publication: EN

Abstracts

EN

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

EN

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

• Publisher: De Gruyter Open
• Journal: Polish Journal of Surgery
• Year: 2011
• Volume: 83
• Issue: 4
• Pages: 223-226

Dates

published

1 - 4 - 2011

online

7 - 6 - 2011

Contributors

author

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

author

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

author

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

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Identifiers

DOI

10.2478/v10035-011-0034-4