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Laparoscopic management for gallstone ileus, case report
M Khalid Mirza Gari1, Ahmed Eldamati1, Mohammed S Foula1
1Department of Surgery, King Fahad University Hopsital, Imam Abdulrahman Bin Faisal University, Dammam, Saudi Arabia.
International Journal of Surgery Case Reports
|September 19, 2018
Summary
Gallstone ileus, a rare cause of small intestinal obstruction in elderly females, requires surgical intervention. Laparoscopic enterolithotomy offers a safe and effective treatment option for this condition.
Area of Science:
- Gastroenterology
- Surgical Gastroenterology
Background:
- Gallstone ileus is a rare but serious complication of gallstones, causing small intestinal obstruction.
- Elderly females are disproportionately affected.
- Diagnosis can be challenging, though Rigler's triad is pathognomonic.
Purpose of the Study:
- To present a case of gallstone ileus diagnosed and treated with laparoscopic enterolithotomy.
- To highlight the diagnostic challenges and surgical management of gallstone ileus.
Main Methods:
- A case report of an elderly female presenting with small bowel obstruction.
- Diagnosis confirmed by contrast-enhanced computed tomography revealing Rigler's triad.
- Successful treatment via total laparoscopic enterolithotomy.
Main Results:
- The patient experienced a smooth postoperative recovery.
- No recurrence of biliary symptoms was observed during follow-up.
- Laparoscopic enterolithotomy proved to be a feasible and effective surgical approach.
Conclusions:
- Gallstone ileus should be considered in the differential diagnosis of small bowel obstruction, particularly in elderly females without prior abdominal surgery.
- Laparoscopic enterolithotomy is a safe and effective option when performed by experienced surgeons.
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