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Management of the Uncinate Process in No-Touch Laparoscopic Pancreaticoduodenectomy

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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

This summary is machine-generated.

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.

Keywords:

Enterolithotomy Gallstone ileus Laparoscopy Small bowel obstruction

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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.