Gallstone Ileus Decades after Cholecystectomy and Pylorus-Preserving Whipples

Abstract EN

We report a case of small bowel obstruction due to gallstone ileus found in a patient with previous pancreaticoduodenectomy (Whipple procedure).

Investigation by computed tomography of the abdomen showed a transition point in the midjejunum due to a radioopaque intraluminal mass.

Following resuscitation, the patient underwent laparotomy to remove the offending mass from the midjejunum.

Subsequent stone analysis confirmed a cholesterol-rich gallstone.

This is thus the first description of gallstone ileus following Whipple procedure.

The rarity of this presentation and a literature review is presented.