Rare case of duodenal obstruction by a gallstone

We present a new case of gallstone ileus, review the literature and reassess the diagnostic and surgical strategies implemented for the treatment of this uncommon cause of ileus. Gallstone ileus accounts for 1–4% of all cases of enteric obstruction [3]. It was first reported by Bartholin in 1654 but...

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Bibliographic Details
Published inHellenic journal of surgery Vol. 87; no. 3; pp. 279 - 281
Main Authors Kambourakis, Christos, Riad, Nafas
Format Journal Article
LanguageEnglish
Published Vienna Springer Vienna 01.05.2015
Subjects
Case Report
Medicine
Medicine & Public Health
Surgery
ileus
obstruction
duodenum
Gallstone
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Summary:We present a new case of gallstone ileus, review the literature and reassess the diagnostic and surgical strategies implemented for the treatment of this uncommon cause of ileus. Gallstone ileus accounts for 1–4% of all cases of enteric obstruction [3]. It was first reported by Bartholin in 1654 but was fully described by Naunyn in 1892 [1]. We present the case of a 62-year-old woman that presented with symptoms of ileus and subsequently underwent surgery for a gallstone logged between the 3rd and 4th part of the duodenum. The patient made a full recovery and had a normal postoperative period. The diagnosis of the disease is made either by a plane abdominal x-ray in a standing position or by means of an abdominal CT scan [11,12]. The main symptom is bile containing regurgitations [3,9], and treatment is surgical [4].
ISSN:0018-0092
1868-8845
DOI:10.1007/s13126-015-0224-3