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2011 | 83 | 4 | 223-226
Tytuł artykułu

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

Treść / Zawartość
Warianty tytułu
Języki publikacji
EN
Abstrakty
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.
Wydawca

Rocznik
Tom
83
Numer
4
Strony
223-226
Opis fizyczny
Daty
wydano
2011-04-01
online
2011-06-07
Twórcy
autor
  • First Department of Surgery "N. Anestiadi" and Laboratory of Hepato-Pancreato-Biliary Surgery, National Center of Emergency Medicine, Medical University "N. Testemitsanu", Kishinev
  • First Department of Surgery "N. Anestiadi" and Laboratory of Hepato-Pancreato-Biliary Surgery, National Center of Emergency Medicine, Medical University "N. Testemitsanu", Kishinev
  • First Department of Surgery "N. Anestiadi" and Laboratory of Hepato-Pancreato-Biliary Surgery, National Center of Emergency Medicine, Medical University "N. Testemitsanu", Kishinev
Bibliografia
  • Lassandro F, Gagliardi N, Scuderi M et al.: Gall-stone ileus analysis of radiological findings in 27 patients. Eur J Radiol 2004; 50: 23-29.[PubMed][Crossref]
  • Nakao A, Okamoto Y, Sunami M et al.: The oldest patient with gallstone ileus: report of a case and review of 176 cases in Japan. Kurume Med J 2008; 55: 29-33.[Crossref]
  • Kirchmayr W, Mühlmann G, Zitt M et al.: Gall-stone ileus: rare and still controversial. ANZ J Surg 2005; 75: 234-38.[Crossref][PubMed]
  • Reisner RM, Cohen JR: Gall-stone ileus: a review of 1001 reported cases. Am Surg 1994; 60: 441-46.
  • Ayantunde AA, Agrawal A: Gall-stone ileus: diagnosis and management. World J Surg 2007; 31: 1292-97.[PubMed]
  • Ihara E, Ochiai T, Yamamoto K et al.: A case of gall-stone ileus with a spontaneous evacuation. Am J Gastroenterol 2002; 97: 1259-60.[Crossref]
  • Farooq A, Memon B, Memon MA: Resolution of gall-stone ileus with spontaneous evacuation of gallstone. Emerg Radiol 2007; 14: 421-23.[PubMed][Crossref]
  • Wysocki AP, N ath J, McGowan B: Spontaneous resolution (and other rarities) of gall-stone ileus. ANZ J Surg 2009; 79: 958-59.[WoS][Crossref]
  • Zuegel N, Hehl A, Lindemann F et al.: Advantages of one-stage repair in case of gall-stone ileus. Hepatogastroenterology 1997; 44: 59-62.
  • Lassandro F, Romano S, Ragozzino A et al.: Role of helical CT in diagnosis of gall-stone ileus and related conditions. AJR Am J Roentgenol 2005; 185: 1159-65.
  • Dittrich K, Weiss H: Ileus of the small intestine caused by a lost gall-stone! A late complication of laparoscopic cholecystectomy. Chirurg 1995; 66: 443-45.[PubMed]
  • Pavlidis TE, Atmatzidis KS, Papaziogas BT et al.: Management of gall-stone ileus. J Hepatobiliary Pancreat Surg 2003; 10: 299-302.
  • Abou-Saif A, Al-Kawas FH: Complications of gall-stone disease: Mirizzi syndrome, cholecystocholedochal fistula, and gallstone ileus. Am J Gastroenterol 2002; 97: 249-54.[Crossref]
  • Kasahara Y, Umemura H, Shiraha S et al.: Gall-stone ileus. Review of 112 patients in the Japanese literature. Am J Surg 1980; 140: 437-40.
  • Yu CY, Lin CC, Shyu RY et al.: Value of CT in the diagnosis and management of gall-stone ileus. World J Gastroenterol 2005; 11: 2142-47.[PubMed]
  • Doko M, Zovak M, Kopljar M et al.: Comparison of surgical treatments of gall-stone ileus: preliminary report. World J Surg 2003; 27: 400-04.[PubMed][Crossref]
  • Rodríguez-Sanjuán JC, Casado F, Fernández MJ et al.: Cholecystectomy and fistula closure versus enterolithotomy alone in gall-stone ileus. Br J Surg 1997; 84: 634-37.
  • Clavien PA, Richon J, Burgan S et al.: Gall-stone ileus. Br J Surg 1990; 77: 737-42.[WoS]
Typ dokumentu
Bibliografia
Identyfikatory
Identyfikator YADDA
bwmeta1.element.-psjd-doi-10_2478_v10035-011-0034-4
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