Gallstone Ileus in 83-Year-Old Woman
Journal of the Korean Geriatrics Society
;
: 246-250, 2014.
Artículo
en Coreano
| 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.
Texto completo:
Disponible
Índice:
WPRIM (Pacífico Occidental)
Asunto principal:
Pronóstico
/
Neoplasias Uterinas
/
Colelitiasis
/
Cálculos Biliares
/
Tomografía Computarizada por Rayos X
/
Dolor Abdominal
/
Estudios de Seguimiento
/
Mortalidad
/
Ileus
/
Diagnóstico Precoz
Tipo de estudio:
Estudio diagnóstico
/
Estudio observacional
/
Estudio pronóstico
/
Estudio de tamizaje
Límite:
Anciano
/
Aged80
/
Femenino
/
Humanos
Idioma:
Coreano
Revista:
Journal of the Korean Geriatrics Society
Año:
2014
Tipo del documento:
Artículo
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