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Related Concept Videos

Cholecystitis01:20

Cholecystitis

Cholecystitis is inflammation of the gallbladder, most commonly caused by obstruction of the cystic duct. This blockage prevents bile from draining, leading to gallbladder distension, inflammation, and potentially serious complications. This condition may present acutely or chronically and can happen with or without gallstones.EtiologyAbout 95% of cholecystitis cases are calculous, caused by gallstones blocking the cystic duct, leading to bile accumulation and inflammation of the gallbladder...
Appendicitis-II: Diagnostic Studies and Management01:29

Appendicitis-II: Diagnostic Studies and Management

Diagnosing and managing appendicitis requires a structured and comprehensive approach that spans from initial assessment to postoperative care. Here is an overview of the process:
Diagnosing Appendicitis
It requires a multifaceted approach, starting with a detailed physical examination to pinpoint the location and nature of the pain and identify any associated symptoms. Laboratory tests play a crucial role. A complete Blood Count (CBC) typically reveals leukocytosis (an increased number of...
Endoscopic Procedures V: ERCP01:26

Endoscopic Procedures V: ERCP

Endoscopic Retrograde Cholangiopancreatography (ERCP) is a diagnostic procedure that combines endoscopy and fluoroscopy to diagnose and treat conditions related to the bile ducts, pancreatic ducts, and gallbladder. This procedure is beneficial for identifying and addressing blockages, gallstones, strictures, and tumors within the biliary or pancreatic systems. ERCP is both diagnostic and therapeutic, offering the ability to visualize and treat identified problems in one session.
Patient...
Intestinal Obstruction II: Pathophysiology01:07

Intestinal Obstruction II: Pathophysiology

Intestinal obstruction triggers a series of physiological responses, starting with gas and fluid accumulation in the bowel segment proximal to the obstruction, leading to distension. This distended intestine compresses the diaphragm, hindering lung expansion and potentially leading to reduced respiratory effort, atelectasis, and pneumonia.To overcome the blockage, the gut intensifies contractions, causing colicky abdominal pain, nausea, and vomiting, which reduces fluid and food intake and...
Intestinal Obstruction I: Introduction01:29

Intestinal Obstruction I: Introduction

Intestinal obstruction is a partial or complete blockage of the small or large intestine that disrupts the normal flow of intestinal contents through the lumen. This interruption impairs digestion, absorption, and fluid balance, and may lead to serious complications if not treated promptly.Mechanical ObstructionMechanical obstruction occurs when a physical blockage prevents intestinal contents from passing, arising from within the lumen or the bowel wall, or from external compression.Adhesions,...
Gallbladder01:17

Gallbladder

The gallbladder is a small, pear-shaped organ that plays a crucial role in our digestive system. Measuring about 10 cm in length, it is comparable in size to a kiwi fruit and is located in a hollow area on the lower surface of the liver. The gallbladder's primary function is to store and concentrate bile, a fluid produced by the liver that aids in digestion.
The gallbladder's anatomy consists of three regions: the fundus, body, and neck. Extending from the neck, the cystic duct joins the common...

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Related Experiment Videos

Gallstone ileus: a difficult emergency diagnosis!

B Memon1, H Sharma, M A Anwar

  • 1Department of Surgery, Ipswich Hospital, Chelsmford Avenue, Ipswich, QLD 4305, Australia. mmemon@yahoo.com

Irish Journal of Medical Science
|September 18, 2008
PubMed
Summary

Gallstone ileus, a rare obstruction, occurs when gallstones move into the small bowel via a fistula. Surgical extraction of these stones led to a full recovery in a 71-year-old female patient.

Related Experiment Videos

Area of Science:

  • Gastroenterology and Hepatobiliary Surgery
  • Abdominal Imaging and Diagnostics

Background:

  • Gallstone ileus (GSI) is an uncommon complication of gallstones, characterized by mechanical small bowel obstruction.
  • It arises from a cholecystoenteric fistula allowing gallstone passage into the gastrointestinal tract, most frequently impacting the terminal ileum.

Observation:

  • A 71-year-old female presented with symptoms suggestive of small bowel obstruction.
  • Computed tomography (CT) scan confirmed the diagnosis of gallstone ileus.

Findings:

  • Surgical exploration revealed impacted gallstones within the small bowel.
  • Successful management was achieved through a simple enterotomy for gallstone extraction.

Implications:

  • This case highlights the importance of considering gallstone ileus in the differential diagnosis of small bowel obstruction.
  • Prompt surgical intervention, such as enterotomy, can lead to favorable patient outcomes.