EJMCR |

Case Report

Volume: 8 | Issue: 6 | Published: May 26, 2024 | Pages: 122 - 125 | DOI: 10.24911/ejmcr.173-1701863881

Surgical treatment of gallstone ileus caused by cholecystoduodenal fistula - a case report

Authors: Trong Anh Nguyen , Lars Leupolt , Carolin Fischer , Eberhard Schneider

Authors

Trong Anh Nguyen

Commissioner of Clinical Studies, Department of General, Visceral and Thoracic Surgery, GPR Ruesselsheim, 65428 Ruesselsheim am Main, Germany

Lars Leupolt

Head of Department, Department of General, Visceral and Thoracic Surgery, GPR Ruesselsheim, 65428 Ruesselsheim am Main, Germany

Carolin Fischer

Specialist, Department of General, Visceral and Thoracic Surgery, GPR Ruesselsheim, 65428 Ruesselsheim am Main, Germany

Eberhard Schneider

Head of Research Department, GPR Ruesselsheim, 65428 Ruesselsheim am Main, Germany.

Publication History

Received: December 06, 2023

Accepted:

Published: May 26, 2024

Abstract

Background: Gallstone ileus is a rare complication of cholelithiasis caused by a bilioenteric fistula. Besides clinical examination, computer tomography (CT) scan is considered a radiological diagnostic procedure. Case Presentation: A 68-year-old male patient presented with epigastralgia, nausea, and emesis. The abdomen was distended and diffusely painful to palpation with peritoneal irritation. Auscultation showed raised peristaltic sounds. CT scan showed aerobilia, distension of the stomach, duodenum, and proximal jejunum, and inside it a 3.5 cm calcified round foreign body. Exploratory laparoscopy showed jejunum obstruction and chronic inflammation of the gallbladder. Lifting the small bowel through a small laparotomy was performed for gallstone removal. After recovery a delayed cholecystectomy and fistula closure followed. Hospital stays were short and complication-free. Conclusion: There are no guidelines for the management of gallstone ileus yet because of a limited number of reported cases. Most of the bilioenteric fistulas are located between the gallbladder and duodenum. In cases of biliocolonic fistula, causing obstruction in the colon endoscopic or conservative therapy can also be performed with a success rate of 26%. Surgical treatment is still a common procedure in emergency cases.

Keywords: Gallstone ileus, bilioenteric fistula, surgical treatment, delayed cholecystectomy, fistula closure, green

Pubmed Style

Trong Anh Nguyen, Lars Leupolt, Carolin Fischer, Eberhard Schneider. Surgical treatment of gallstone ileus caused by cholecystoduodenal fistula - a case report. EJMCR. 2024; 26 (May 2024): 122-125. doi:10.24911/ejmcr.173-1701863881

Web Style

Trong Anh Nguyen, Lars Leupolt, Carolin Fischer, Eberhard Schneider. Surgical treatment of gallstone ileus caused by cholecystoduodenal fistula - a case report. https://ejmcr.com/articles/1217 [Access: December 25, 2024]. doi:10.24911/ejmcr.173-1701863881

AMA (American Medical Association) Style

Vancouver/ICMJE Style

Trong Anh Nguyen, Lars Leupolt, Carolin Fischer, Eberhard Schneider. Surgical treatment of gallstone ileus caused by cholecystoduodenal fistula - a case report. EJMCR. (2024), [cited December 25, 2024]; 26 (May 2024): 122-125. doi:10.24911/ejmcr.173-1701863881

Harvard Style

Trong Anh Nguyen, Lars Leupolt, Carolin Fischer, Eberhard Schneider (2024) Surgical treatment of gallstone ileus caused by cholecystoduodenal fistula - a case report. EJMCR, 26 (May 2024): 122-125. doi:10.24911/ejmcr.173-1701863881

Chicago Style

Trong Anh Nguyen, Lars Leupolt, Carolin Fischer, Eberhard Schneider. "Surgical treatment of gallstone ileus caused by cholecystoduodenal fistula - a case report." 26 (2024), 122-125. doi:10.24911/ejmcr.173-1701863881

MLA (The Modern Language Association) Style

Trong Anh Nguyen, Lars Leupolt, Carolin Fischer, Eberhard Schneider. "Surgical treatment of gallstone ileus caused by cholecystoduodenal fistula - a case report." 26.May 2024 (2024), 122-125. Print. doi:10.24911/ejmcr.173-1701863881

APA (American Psychological Association) Style

Trong Anh Nguyen, Lars Leupolt, Carolin Fischer, Eberhard Schneider (2024) Surgical treatment of gallstone ileus caused by cholecystoduodenal fistula - a case report. , 26 (May 2024), 122-125. doi:10.24911/ejmcr.173-1701863881