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Chronic Bowel Disorders: Introduction01:17

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Chronic bowel diseases are a group of long-term conditions affecting the digestive tract, characterized by inflammation and damage to the gut lining. These conditions primarily include irritable bowel syndrome and inflammatory bowel disease.
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  1. Home
  3. Research Domains
  5. Chemical Sciences
  7. Inorganic Chemistry
  9. Inorganic Chemistry Not Elsewhere Classified
  11. Chronic Gallstone Ileus Presenting As Acute Small Bowel Obstruction: A Case Study.
  1. Home
  3. Research Domains
  5. Chemical Sciences
  7. Inorganic Chemistry
  9. Inorganic Chemistry Not Elsewhere Classified
  11. Chronic Gallstone Ileus Presenting As Acute Small Bowel Obstruction: A Case Study.

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Chronic Gallstone Ileus Presenting as Acute Small Bowel Obstruction: A Case Study.

Jordyn N Becker1, Emily A Ginn1, Bradley Bandera2

  • 1Department of Medicine, University of Nevada, Reno - School of Medicine, Reno, NV, USA.

The American Journal of Case Reports
|November 18, 2024

View abstract on PubMed

Summary
This summary is machine-generated.

Gallstone ileus is rare. This case shows a gallstone causing small bowel obstruction years after initial imaging, highlighting atypical presentations of this condition.

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Area of Science:

  • Gastroenterology
  • Surgical Case Reports

Background:

  • Gallstone ileus is an uncommon cause of intestinal obstruction.
  • Rigler's triad (small bowel obstruction, pneumobilia, obstructing gallstone) is not always present.

Observation:

  • A 71-year-old man presented with acute small bowel obstruction.
  • Imaging revealed a gallstone in the distal small bowel, with prior imaging showing it in the jejunum 4 years earlier.
  • The patient had no pneumobilia or biliary-enteric fistula.

Findings:

  • Laparoscopy and enterotomy successfully removed a 4x4 cm gallstone.
  • The gallstone was encased in fecal material.
  • The patient recovered without complications.

Implications:

  • This case highlights a rare, delayed presentation of gallstone ileus.
  • It emphasizes the importance of considering gallstone ileus in small bowel obstruction, even without classic signs.
  • Long-term impaction of gallstones can lead to obstruction years later.