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Gallstone Ileus: Uncommon Presentation Followed by Less Common Spontaneous Resolution
Nicholas Hobbs1, Mohammed Barghash1, Paul A Peters1
1General Surgery, North Manchester General Hospital, Manchester, GBR.
Gallstone ileus, a rare bowel obstruction, can resolve spontaneously. This case shows a patient passing the gallstone, avoiding surgery and highlighting the need for flexible management plans.
Area of Science:
- Gastroenterology
- Surgical Case Reports
Background:
- Gallstone ileus is an uncommon complication of gallstones, leading to bowel obstruction.
- It typically requires surgical intervention for stone removal.
Observation:
- An 82-year-old female presented with abdominal pain, initially suspected as a urinary tract infection.
- Clinical and radiological findings confirmed gallstone ileus.
Findings:
- The patient spontaneously passed the obstructing gallstone before surgical intervention.
- This resulted in complete resolution of bowel obstruction symptoms.
Implications:
- This case underscores the potential for conservative management in select gallstone ileus cases.
- It emphasizes the importance of continuous patient monitoring and adaptive treatment strategies.
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