Unusual Presentation of Recurrent Gallstone Ileus: A Case Report and Literature Review
المؤلفون المشاركون
Osagiede, Osayande
Pacurari, Paula
Colibaseanu, Dorin
Jrebi, Nezar
المصدر
Case Reports in Gastrointestinal Medicine
العدد
المجلد 2019، العدد 2019 (31 ديسمبر/كانون الأول 2019)، ص ص. 1-4، 4ص.
الناشر
Hindawi Publishing Corporation
تاريخ النشر
2019-10-03
دولة النشر
مصر
عدد الصفحات
4
التخصصات الرئيسية
الملخص EN
Background.
Gallstone ileus (GSI) is a rare form of small bowel obstruction (SBO) in patients with cholelithiasis, which is often poorly managed.
Enhanced abdominal computed tomography (CT) with contrast is considered the most helpful diagnostic tool, as it is highly sensitive, specific, and accurate.
We report an interesting case of recurrent GSI that was not detected by CT but diagnosed intraoperatively.
Case Presentation.
A 49-year-old female with a previous history of choledocholithiasis and ERCP presented to the emergency department following episodes of sudden cramping, epigastric pain, and nausea.
An abdominal CT revealed evidence of SBO with clear evidence of GSI and a cholecystoduodenal fistula.
Laparoscopic exploration of the small bowel revealed a large, calcified 3.5 cm × 3 cm gallstone with evidence of pressure necrosis; segmental bowel resection with stapled anastomosis was performed and patient recovered appropriately after surgery.
Cholecystectomy was not performed due to multiple co-morbidities and absence of gallbladder stones.
However, she presented two months later with signs and symptoms of SBO.
A repeat abdominal CT showed dilated bowel with no clear transition point.
This was suspected to be due to adhesions.
After an initial conservative treatment which produced mild improvement, laparotomy was performed which revealed a second large non-calcified gallstone and necrotic small bowel with a pocket of abscess.
Conclusion.
The most sensitive diagnostic tool for GSI is enhanced abdominal CT but dilemma arises when GSI is not detected on CT.
A high index of suspicion and further exploration are required in order not to miss other vital findings.
نمط استشهاد جمعية علماء النفس الأمريكية (APA)
Osagiede, Osayande& Pacurari, Paula& Colibaseanu, Dorin& Jrebi, Nezar. 2019. Unusual Presentation of Recurrent Gallstone Ileus: A Case Report and Literature Review. Case Reports in Gastrointestinal Medicine،Vol. 2019, no. 2019, pp.1-4.
https://search.emarefa.net/detail/BIM-1136313
نمط استشهاد الجمعية الأمريكية للغات الحديثة (MLA)
Osagiede, Osayande…[et al.]. Unusual Presentation of Recurrent Gallstone Ileus: A Case Report and Literature Review. Case Reports in Gastrointestinal Medicine No. 2019 (2019), pp.1-4.
https://search.emarefa.net/detail/BIM-1136313
نمط استشهاد الجمعية الطبية الأمريكية (AMA)
Osagiede, Osayande& Pacurari, Paula& Colibaseanu, Dorin& Jrebi, Nezar. Unusual Presentation of Recurrent Gallstone Ileus: A Case Report and Literature Review. Case Reports in Gastrointestinal Medicine. 2019. Vol. 2019, no. 2019, pp.1-4.
https://search.emarefa.net/detail/BIM-1136313
نوع البيانات
مقالات
لغة النص
الإنجليزية
الملاحظات
Includes bibliographical references
رقم السجل
BIM-1136313
قاعدة معامل التأثير والاستشهادات المرجعية العربي "ارسيف Arcif"
أضخم قاعدة بيانات عربية للاستشهادات المرجعية للمجلات العلمية المحكمة الصادرة في العالم العربي
تقوم هذه الخدمة بالتحقق من التشابه أو الانتحال في الأبحاث والمقالات العلمية والأطروحات الجامعية والكتب والأبحاث باللغة العربية، وتحديد درجة التشابه أو أصالة الأعمال البحثية وحماية ملكيتها الفكرية. تعرف اكثر