Gallstone Ileus: Unfortunate Encounter

Authors

  • Mohammad Zawawi Ya’acob Department of Surgery, School of Medical Sciences, Universiti Sains Malaysia, Kubang Kerian, Kelantan, Malaysia & Hospital University Sains Malaysia, Kubang Kerian, Kelantan, Malaysia.
  • Ikhwan Sani Mohamad Hospital Universiti Sains Malaysia, Kubang Kerian, Kelantan, Malaysia & Department of Surgery, School of Medical Sciences, Universiti Sains Malaysia, Kubang Kerian, Kelantan, Malaysia.
  • Leow Voon Meng Department of Surgery, School of Medical Sciences, Universiti Sains Malaysia, Kubang Kerian, Kelantan, Malaysia & Advance Medical and Dental Institute (AMDI), Universiti Sains Malaysia, Pulau Pinang, Malaysia.
  • Maya Mazuwin Yahya Department of Surgery, School of Medical Sciences, Universiti Sains Malaysia, Kubang Kerian, Kelantan, Malaysia & Hospital Universiti Sains Malaysia, Kubang Kerian, Kelantan, Malaysia.
  • Nagarajan T Vellasamy Hospital Seberang Jaya, Pulau Pinang, Malaysia.

DOI:

https://doi.org/10.3329/bjms.v23i1.70762

Keywords:

gallstone disease; gallstone ileus; small bowel obstruction; pneumobilia; enterolithotomy

Abstract

Gallstone disease is a common burden that affect worldwide that carry broad spectrum of its complications and severities. Gallstone ileus (GSI) remained the rare complication that arise form gallstone disease that mainly affected the elderly population. The mainstay of treatment for GSI is to relieve the small bowel obstruction by extraction of the impacted gallstone. Surgical options for GSI remained the long-standing arguments involve single-staged procedure (enterolithotomy, cholecystectomy and fistula repair) or twostaged procedure (enterolithotomy alone, and cholecystectomy with fistula repair later). We reported a case of a 76-year-old male who presented with symptoms of small bowel obstruction and computed tomography (CT) of abdomen confirmed the presence of calcified lesion at ileum with pneumobilia which was successfully managed with two-staged procedure.

Bangladesh Journal of Medical Science Vol. 23 No. 01 January’24 Page : 272-275

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Published

2024-01-01

How to Cite

Ya’acob, M. Z. ., Mohamad, I. S. ., Meng, L. V. ., Yahya, M. M. ., & Vellasamy, N. T. (2024). Gallstone Ileus: Unfortunate Encounter. Bangladesh Journal of Medical Science, 23(1), 272–275. https://doi.org/10.3329/bjms.v23i1.70762

Issue

Section

Case Reports