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Gallstone ileus associated with obstructive jaundice and intestinal ischemia: a case report
Juraj Kolak1, Ivan Romic1, Hrvoje Silovski1
1Department of Hepatobiliary Surgery and Organ Transplantation, University Hospital Center Zagreb, Kispaticeva 12, 10000 Zagreb, Croatia.
None:
Typical gallstone ileus includes small intestine obstruction caused by the gallstone passing from the gallbladder through the common bile duct (CBD). The case of gallstone ileus with simultaneous obstructive jaundice and intestinal ischemia is an extremely rare scenario. Computed tomography of the abdomen and pelvis is the method of choice for the diagnosis. While some cases may be treated conservatively, surgery is often required, with the approach tailored to the patient's general condition and medical history. Hereby, we present a case of an 88-year-old lady with gallstone ileus, obstructive jaundice, and radiologic signs of intestinal ischemia. Urgent surgery revealed a 3 cm gallstone in the ischemic distal jejunum and another in the CBD. Cholecystectomy, duodenal wall repair, choledochotomy with stone extraction, and T-drainage were performed. The patient was discharged from the hospital on the 25th postoperative day, and 1 year after the surgery, is in good general condition.
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