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Case Series
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| Gallstone ileus: Diagnostic and therapeutic dilemma |
| Shireesh Saurabh1, Andrew Camerota2, Jeffrey Zavotsky2 |
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1Drexel University College of Medicine, Broad and Vine street, Philadelphia, PA 19102, USA.
2St Peter's University Hospital, 254 Easton avenue, New Brunswick, NJ 08901, USA. 2St Peter's University Hospital, 254 Easton avenue, New Brunswick, NJ 08901, USA. |
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doi:10.5348/ijcri-2011-12-71-CS-1
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Address correspondence to: Shireesh Saurabh Drexel University College of Medicine Broad and Vine street Philadelphia, PA 19102 USA Email: shireesh9@yahoo.com |
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| How to cite this article: |
| Saurabh S, Camerota A, Zavotsky J. Gallstone ileus: Diagnostic and therapeutic dilemma. International Journal of Case Reports and Images 2011;(12):1-5. |
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Abstract
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Introduction:
Gallstone ileus is a rare complication of cholelithiasis but an established cause of mechanical bowel obstruction in the elderly. Concomitant co-morbidities are frequent in older patients and responsible for the high mortality rate. The aim of the present study was to evaluate and discuss different surgical approaches and to analyze the clinical outcome.
Case Series: Over a period of two years, three patients with a mean age of 78 years presented with complains of abdominal pain, nausea and vomiting of approximately two days duration. Diagnosis of gallstone ileus was made on computed tomography (CT) scan, which showed cholecystoenteric fistula and small bowel obstruction at the point of impaction of the gallstone. All the patients underwent enterolithotomy without a follow up biliary tract surgery. The postoperative course was uneventful in all the cases. Conclusion: Gallstone ileus is a rare condition, occurring in elderly with multiple co-morbidities. The appropriate surgical intervention remains controversial. Enterolithotomy alone was performed in all the patients with favorable outcome. | |
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Key Words:
Gallstone ileus, Cholelithiasis, Gallbladder
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Author Contributions:
Shireesh Saurabh - Substantial contributions to conception and design, Acquisition of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published Andrew Camerota - Acquisition of data, Drafting the article, Final approval of the version to be published Jeffrey Zavotsky - Acquisition of data, Drafting the article, Final approval of the version to be published |
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Guarantor of submission:
The corresponding author is the guarantor of submission. |
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Source of support:
None |
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Conflict of interest:
Authors declare no conflict of interest. |
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Copyright:
© Shireesh Saurabh et al. 2011; This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any means provided the original authors and original publisher are properly credited. (Please see www.ijcasereportsandimages.com /copyright-policy.php for more information.) et. al. 2011; This article is distributed the terms of Creative Commons attribution 3.0 License which permits unrestricted use, distribution and reproduction in any means provided the original authors and original publisher are properly credited. (Please see Copyright Policy for more information.) |
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