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Gallstone ileus in a 100-year-old patient
Casopis Lekaru Ceskych
|April 16, 2020
Summary
A 100-year-old patient experienced bowel obstruction due to a gallstone in the terminal ileum. Surgical removal of the gallstone led to a successful recovery, highlighting surgical intervention for gallstone ileus.
Area of Science:
- Gastroenterology
- Surgical Case Reports
Background:
- Gallstone ileus is a rare complication of cholelithiasis, typically occurring in elderly patients.
- It presents as a mechanical bowel obstruction caused by a gallstone eroding into the gastrointestinal tract.
Observation:
- A 100-year-old polymorbid patient presented with symptoms suggestive of bowel obstruction.
- Conservative management failed to resolve the obstruction.
Findings:
- Computed tomography (CT) imaging identified a gallstone obstructing the terminal ileum.
- Surgical intervention successfully removed the gallstone.
Implications:
- This case underscores the importance of considering gallstone ileus in the differential diagnosis of bowel obstruction in the elderly.
- Prompt surgical management can lead to favorable outcomes even in frail, elderly patients.
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