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Recurrent gallstone ileus.
Anne Iudicello1, Jan Vanstiphout1, Tom Verbelen1
1a Department of Surgery , Ziekenhuisgroep Twente , Almelo , The Netherlands.
Acta Chirurgica Belgica
|July 19, 2016
Summary
Recurrent gallstone ileus, a condition often seen in elderly patients, can be effectively treated with enterotomy and stone extraction. This case highlights successful management and recovery in an aging patient with multiple comorbidities.
Area of Science:
- Gastroenterology
- Surgical Case Reports
Background:
- Recurrent gallstone ileus predominantly affects elderly individuals with comorbidities.
- The aging population is experiencing an increasing prevalence of this condition.
- Delayed diagnosis due to non-specific symptoms contributes to high gallstone ileus mortality.
Purpose of the Study:
- To present a case of recurrent gallstone ileus in an elderly female patient.
- To discuss the diagnostic and therapeutic strategies for gallstone ileus.
Main Methods:
- A 76-year-old female patient presented with recurrent gallstone ileus.
- Both episodes were managed with enterotomy and stone extraction.
- Computed tomography (CT) scan was utilized for diagnosis.
Main Results:
- The patient experienced two episodes of gallstone ileus within a short period.
- Both episodes were successfully treated with enterotomy and stone extraction.
- The patient made a full recovery and remained in good health one year post-treatment.
Conclusions:
- Enterotomy with stone extraction is a common and effective strategy for gallstone ileus.
- A two-stage approach (urgent enterotomy, delayed cholecystectomy) may be considered for symptomatic patients.
- A one-stage procedure is suitable only for select patients with minimal cholecystitis and good health.
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