Large bowel obstruction secondary to gallstones.
Publication/Presentation Date
5-1-2021
Abstract
Gallstone ileus is a rare complication of cholelithiasis, representing 1% of bowel obstructions. The usual site of obstruction is the ileocecal valve, though other sites have been reported. Here, we present two cases of gallstone ileus within the distal colon requiring surgical intervention. Two elderly females presented with vague abdominal symptoms secondary to large bowel obstruction from gallstone impaction. Both underwent attempted endoscopic retrieval without success. Patient 1 required laparoscopy converted to exploratory laparotomy with colotomy and removal of the stone. Patient 2 required partial colectomy and end colostomy formation due to acute sigmoid inflammation. Gallstone ileus is a rare cause of intestinal obstruction, though incidence increases with age. Cholecystocolonic fistulas allow stones to bypass the ileocecal valve, with the potential for impaction in the colon at the site of a stricture or tortuosity. Surgical intervention may be required in cases not amenable to successful endoscopic retrieval.
Volume
2021
Issue
5
First Page
137
Last Page
137
ISSN
2042-8812
Published In/Presented At
Crosen, M., Ghattas, P., & Sandhu, R. (2021). Large bowel obstruction secondary to gallstones. Journal of surgical case reports, 2021(5), rjab137. https://doi.org/10.1093/jscr/rjab137
Disciplines
Medicine and Health Sciences | Surgery
PubMedID
34025967
Department(s)
Department of Surgery, Department of Surgery Faculty, Department of Surgery Residents, Fellows and Residents
Document Type
Article