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Gallstone Ileus Presenting As Small Bowel Obstruction: A Surgical Case Report
Wilhelm Hansen1, Mohammed Fayaz Kimmie2, Usama Anjum2
1General Surgery, University of the Witwatersrand, Johannesburg, Johannesburg, ZAF.
Cureus
|August 27, 2025
Summary
Gallstone ileus, a rare complication of gallstones (cholelithiasis), can cause bowel obstruction. Early diagnosis and surgical intervention are crucial for successful management of this condition.
Area of Science:
- Gastroenterology
- Surgical Case Reports
Background:
- Gallstone ileus is a rare but serious complication of gallstones (cholelithiasis).
- It often presents with non-specific symptoms, leading to delayed diagnosis.
Observation:
- An 83-year-old patient presented with chronic abdominal discomfort, nausea, and vomiting.
- CT scan revealed gallstone ileus with Rigler's triad (pneumobilia, ectopic gallstone, and small bowel obstruction).
Findings:
- The patient underwent successful surgical enterotomy and enterolithotomy for gallstone ileus.
- Despite recurrent, uninvestigated abdominal symptoms, there was no prior history of gallstone-related admissions.
Implications:
- This case emphasizes the need for early diagnosis and management of cholelithiasis to prevent complications like gallstone ileus.
- Accurate preoperative assessment with imaging is vital for managing bowel obstruction due to gallstone ileus.
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