Gall Stone Ileus: A Rare Cause of Intestinal Obstruction, Complication of Gall Bladder Stone Disease
Journal Title: Scholars Journal of Medical Case Reports - Year 2015, Vol 3, Issue 6
Abstract
Gall stone ileus is an extremely rare cause of small intestinal obstruction accounting for only 1-4% case overall. The clinical presentation is variable, depends on the site of obstruction. It is manifested as acute, intermittent or chronic episodes. A 45 year old female was admitted to our emergency department with chief complains of obstipation and constipation since 12 days and had a history of similar complains 5 months back. At admission there were signs of intestinal obstruction, with X-ray showing multiple air fluid levels. Once stabilised laparotomy was performed and a palpable stone in terminal ileum with adhesion between gall bladder and first part of duodenum was seen. The postoperative course was uneventful. This one stage repair should be the first choice of treatment for well stabilised patient having good cardiopulmonary and metabolic reserve. Keywords: Gall stone ileus, Small intestine, Constipation, Laparotomy
Authors and Affiliations
Dr. Rajkumar, Sharma Neeraj, Kumar Amit
Keywords
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