Gallstone Ileus in 83-Year-Old Woman.
10.4235/jkgs.2014.18.4.246
- Author:
Song Hee OH
1
;
Jun Ho JO
;
Il Soo KIM
;
Woo Young KIM
;
Kun Woo PARK
;
Min Woong JUNG
;
Jong Ik PARK
;
Se Ryeong PARK
Author Information
1. Department of Internal Medicine, Busan Veterans Hospital, Busan, Korea. kims2192@naver.com
- Publication Type:Case Report
- Keywords:
Gallstones;
Ileus;
Intestinal perforation
- MeSH:
Abdominal Pain;
Aged, 80 and over*;
Cholelithiasis;
Early Diagnosis;
Female;
Fistula;
Follow-Up Studies;
Gallstones*;
Humans;
Hysterectomy;
Ileum;
Ileus*;
Intestinal Perforation;
Mortality;
Prognosis;
Tomography, X-Ray Computed;
Uterine Neoplasms
- From:Journal of the Korean Geriatrics Society
2014;18(4):246-250
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Gallstone ileus is a rare complication of the biliary stone, occurring in 0.3-0.5% of patients with cholelithiasis. The mortality rate is high at 12-27% and early diagnosis and prompt management can improve its prognosis. An 83-year-old woman was admitted to the hospital with abdominal pain. The patient previously had a hysterectomy and had received radiation therapy for uterine cancer. Plain abdominal x-ray showed typical findings of small bowel ileus with step ladder patterns. Computed tomography (CT) scan revealed biliary-enteric fistula with a 3-cm-sized gallstone in the jejunal loop. Surgical treatment was planned but due to the patient's wish, conservative treatment was provided for 10 days. In the follow-up CT scan, the stone had moved to the distal ileum but intestinal perforation was suspected. Ileocecectomy and adhesiolysis were performed and the patient recovered fully. Here we report a case of gallstone ileus that was treated by surgical removal after 10 days of conservative treatment.
