Gallstone ileus is a rare mechanical
ileus,which was caused by discharge of giant gall
bladder stone to the
intestine.
Understanding the causes of
ileus is the key factor for
treatment,and surgical
treatment is the
treatment of choice.An old
patient with
gallstone ileus was admitted to the Second Affiliated
Hospital of Soochow
University in April 2013.Preoperative
X ray detection and computed
tomography showed
gallbladder wall thickening,formation of a sinus tract between the gall
bladder and the
duodenum,and intestinal
ileus in the left iliac region (the diameter of the stone was about 4 cm).The
patient received medical
treatment for 3 days and then exploratory
laparotomy + lithotomy.Gall
bladder stones were not detected during the operation,so the gall
bladder was preserved.The
patient was followed up till December 2013,the sinus tract was disappeared under B sonography,and the
cholecystitis was cured.