Gallstone Ileus Occurring 35 Years After Cholecystectomy in an Elderly Male
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View abstract on PubMed
Summary
This summary is machine-generated.Gallstone ileus, a rare cause of small bowel obstruction (SBO), can occur decades after gallbladder removal. This case highlights the importance of considering this delayed complication in elderly patients with prior gallstone disease.
Area Of Science
- Gastroenterology
- Abdominal Surgery
- Radiology
Background
- Gallstone ileus is an uncommon cause of small bowel obstruction (SBO), particularly in elderly patients with a history of gallstone disease.
- It is exceptionally rare for gallstone ileus to manifest decades after a cholecystectomy.
Purpose Of The Study
- To report a rare case of gallstone ileus occurring long after cholecystectomy.
- To emphasize the diagnostic challenges and importance of high clinical suspicion in elderly patients with SBO and intraluminal calcified densities.
Main Methods
- A 72-year-old male presented with symptoms of SBO.
- Computed tomography (CT) imaging revealed a calcified intraluminal mass in the distal ileum.
- The patient underwent exploratory laparotomy, enterolithotomy, and adhesiolysis for definitive treatment.
Main Results
- A large, calcified gallstone was successfully removed from the distal ileum, confirming gallstone ileus.
- The patient experienced a superficial wound infection postoperatively, which was managed conservatively.
- Full recovery was achieved, with discharge on postoperative day ten.
Conclusions
- Gallstone ileus can occur many years post-cholecystectomy, likely due to a persistent biliary-enteric fistula.
- The nonspecific presentation and rarity of this condition can delay diagnosis.
- Early recognition and prompt surgical intervention are crucial for optimal patient outcomes.
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