Gallstone Ileus in 83-Year-Old Woman
Journal of the Korean Geriatrics Society
;
: 246-250, 2014.
Article
in Korean
| WPRIM
| ID: wpr-226410
ABSTRACT
Gallstone ileus is a rare complication of the biliary stone, occurring in 0.3-0.5% of patients with cholelithiasis. The mortality rate is high at 12-27% and early diagnosis and prompt management can improve its prognosis. An 83-year-old woman was admitted to the hospital with abdominal pain. The patient previously had a hysterectomy and had received radiation therapy for uterine cancer. Plain abdominal x-ray showed typical findings of small bowel ileus with step ladder patterns. Computed tomography (CT) scan revealed biliary-enteric fistula with a 3-cm-sized gallstone in the jejunal loop. Surgical treatment was planned but due to the patient's wish, conservative treatment was provided for 10 days. In the follow-up CT scan, the stone had moved to the distal ileum but intestinal perforation was suspected. Ileocecectomy and adhesiolysis were performed and the patient recovered fully. Here we report a case of gallstone ileus that was treated by surgical removal after 10 days of conservative treatment.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Prognosis
/
Uterine Neoplasms
/
Cholelithiasis
/
Gallstones
/
Tomography, X-Ray Computed
/
Abdominal Pain
/
Follow-Up Studies
/
Mortality
/
Ileus
/
Early Diagnosis
Type of study:
Diagnostic study
/
Observational study
/
Prognostic study
/
Screening study
Limits:
Aged
/
Aged80
/
Female
/
Humans
Language:
Korean
Journal:
Journal of the Korean Geriatrics Society
Year:
2014
Type:
Article
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