Gallstone Ileus: Case Report of a Rare Cause of Intestinal Obstruction in An Unexpected Age Group | ||||
| The Egyptian Journal of Hospital Medicine | ||||
| Article 9, Volume 70, Issue 9, January 2018, Page 1471-1474 PDF (500.42 K) | ||||
| Document Type: Original Article | ||||
 View on SCiNiTO | ||||
| Authors | ||||
Bashaer Ahmed Shafei  1; Rami Issam Arabi1; Ahmed Abdulrahim Fallatah2
| ||||
| 1Ibnsina National College for Medical Studies | ||||
| 2King Abdulaziz Hospital and Oncology Center | ||||
| Abstract | ||||
| Background: gallstone ileus is a rare complication of cholelithiasis and considered as a type of mechanical bowel obstruction in which a gallstone is impacted in the gastrointestinal tract. This condition is seen more frequently in old patients with females’ predominance. Gallstone ileus is responsible for 1%-5% of mechanical intestinal obstruction. Case presentation: we report a case of 48 years old medically free, male patient presented to Emergency Department with severe abdominal pain, distention, constipation, multiple attacks of vomiting associated with nausea and with a chronic history of cholecystitis. The diagnosis of gallstone ileus was confirmed by abdominal X-ray and abdominal computed tomography (CT) scan findings. The patient was stabilized before doing an exploratory laparotomy. Conclusion: gallstone ileus is an emergency condition associated with high morbidity and mortality rates. To get the most favorable outcome, high clinical suspicion aided by the use of diagnostic modalities such as CT abdomen is needed to reach the diagnosis since it is usually present with nonspecific signs and symptoms. | ||||
| Keywords | ||||
| gallstone ileus; Intestinal Obstruction; Fistula; pneumobilia; male patient; and middle age | ||||
|
Statistics Article View: 138 PDF Download: 204 |
||||
