A case of cholecystoduodenal fistula complicated with gallstone ileus was documented
0
Citation
2
Reference
10
Related Paper
Keywords:
Gallstone Ileus
Ileus
Biliary fistula
Summary Gallstone ileus remains a rare but important cause of small bowel obstruction. We report a case of recurrent gallstone ileus, presumably caused by an unidentified second stone resident within the gallbladder at the time of the initial laparotomy. This raises important questions about the traditional surgical management of this interesting condition.
Gallstone Ileus
Ileus
Cite
Citations (9)
Objective To study imaging findings of gallstone ileus and to discuss the value on diagnosis. Methods The image findings of 15 patients with gallstone ileus confirmed by clinical information were reviewed retrospectively.Results Signs of ileus, ectopic gallstone, and penumobilia were seen in all cases. The distorted gallbladder was seen in 14 cases except one case with the gallbladder resection. Signs of biliary enteric fistula were seen in 4 cases, and peritoneal fluid was seen in 2 cases. Abdominal plain films were performed in 5 cases in the same time and signs of penumobilia were seen in 1 case. Signs of ileus were seen in 3 cases. Gastroenterography study was performed in 2 cases and signs of biliary enteric fistula were seen in 2 cases, and filling defect of the bowel in 1 case. Abdominal US was performed in 7 cases. Gallbladder abnormalities were seen in 7 cases, and penumobilia in 3 cases. Conclusion Primary result revealed that the CT appearance of gallstone ileus was particularly striking. CT is the best valuable tool for the diagnosis of gallstone ileus, and X-ray plain film and sonography examination are shown to be very good screening examinations.
Gallstone Ileus
Ileus
Biliary fistula
Cite
Citations (0)
Gallstone ileus as a cause of distal jejunal obstruction is rare. Herein we present a case of gallstone ileus without any previous biliary symptoms and with Rigler’s triad on radiological investigation. As the signs and symptoms of gallstone ileus is nonspecific high index of suspicion is necessary to make a diagnosis of gallstone ileus. One staged cholecystectomy, fistula repair and enterolithotomy was done and patient recovered uneventfully.
Gallstone Ileus
Ileus
Biliary fistula
Cite
Citations (1)
This is a report on nine cases presenting biliary ileus. All patients undergo operative management. Two female patients present Bouveret's syndrome. The inference is reached that gallstone induced intestinal obstruction is characterized by atypical clinical patterns, conditioning in turn the diagnostic difficulties encountered, and the necessity to undertake operative treatment against the background of advanced ileus. The latter is one of the rarest forms of intestinal obstruction. Biliary ileus treatment consists in the removal of small intestinal impatency. The concretion is pushed in oral direction, and its evacuation is successfully accomplished by enterotomy, duodenotomy or gastrotomy. Two fatal outcomes due to severe advanced form of ileus are reported.
Enterotomy
Gallstone Ileus
Ileus
Cite
Citations (0)
Gallstone Ileus
Ileus
Large bowel obstruction
Cite
Citations (1)
Abstract This case report illustrates the difficulties in making the clinical diagnosis of gallstone ileus. In addition to an unusual clinical picture, the changes normally expected on abdominal X-ray in gallstone ileus were subtle and missed in our patient. The diagnosis was made using abdominal computerised tomography (CT). We recommend the early use of abdominal CT scanning in the investigation of clinical bowel obstruction, especially in the elderly, where gallstone ileus is a more common condition.
Gallstone Ileus
Ileus
Abdominal computed tomography
Cite
Citations (26)
Cholecystoenteric fistula, a rare complication of gallstone disease, can cause obstruction of the digestive tract by the form of gallstone ileus or Bourveret syndrome. Cholecystogastric fistula is a minor variant of cholecystoenteric fistula with a frequency of approximately 5% of cholecystoenteric fistula. We describe an extremely rare case report of the cholecystogastric fistula, caused by dense calculous cholecystitis, penetrated the duodenum, caused duodenal obstruction and needed differentiation from gallbladder cancer infiltrate to neighboring organ.
Gallstone Ileus
Duodenal Diseases
Ileus
Cite
Citations (0)
Gallstone ileus is a rare cause of small bowel obstruction which usually presents in elderly female patients and which has been associated with high morbidity and mortality rates. We present the case of a 63-year-old man who presented at our institution with symptoms of bowel obstruction. Abdominal X-ray and exploratory laparotomy revealed a large gallstone in the terminal ileus.
Gallstone Ileus
Ileus
Exploratory laparotomy
Presentation (obstetrics)
Cite
Citations (1)
Gallstone ileus is a well-known cause of small bowel obstruction in the radiological literature. In the experience of these authors, gallstone ileus occurs more often in quiz cases for registrars than in the everyday casework of a radiologist. The here presented case of a gallstone ileus provides a good opportunity to summarize cause, clinical presentation, radiological findings, and treatment options for both those studying for the specialist examinations and those whose specialist examinations are long past.
Gallstone Ileus
Ileus
Presentation (obstetrics)
Cite
Citations (1)
Biliary fistula and gallstone ileus are rarely found. The diagnosis is difficult and may be delayed until operation. We reviewed the radiological findings in a retrospective material.The cases of 16 patients treated for biliary fistula were analyzed with respect to findings at imaging. Ten patients had a spontaneous fistula. Nine of them had an internal bilioduodenal fistula and one had an external fistula with stones passing through a subcutaneous abscess. Five patients also had gallstone ileus and one patient a rare gastric outlet obstruction caused by a gallstone (Bouveret's syndrome). Six patients had an iatrogenic fistula. One of them had internal bile ascites and 5 an external fistula, one of which was a biliocystic fistula resulting from attempted hepatic cyst sclerotherapy.Various imaging modalities were used and there was often a delay in the diagnosis. Imaging did not show the fistula itself in any of the spontaneous cases. However, a nonvisualized or shrunken gallbladder seen at US often coexisted in these cases. CT yielded the diagnosis in one case of gallstone ileus, and a Gastrografin meal yielded it in the case of Bouveret's syndrome. Fistulography and cholangiography provided a correct diagnosis of fistula in all cases of iatrogenic biliocutaneous fistulas.Patients with biliary fistula usually undergo examinations with nonspecific results. The imaging findings could be more specific if the possibility of this diagnosis were remembered.
Gallstone Ileus
Biliary fistula
Cite
Citations (37)