E-ISSN 2534-9821
 

Case Report

Online Publishing Date:
10 / 03 / 2024

 


Gallstone Obstruction In Jejunum: A Rare Case

Dr Madan K , Dr Rudresh H K, Dr Sreekar A Pai, Dr Madhu P Raj.


Abstract
Gallstone ileus refers to mechanical obstruction of the small intestine due to impaction of one or more gallstones. It occurs as a complication of cholelithiasis, more in elderly females [1]. CECT is the best diagnostic tool and the definitive treatment of gallstone ileus is surgical removal. The prevalence of cholelithiasis among American Indians may reach upto 70% and is much lower in Asians[6]. However most cases of cholelithiasis are asymptomatic and are found as an incidental finding and it is reported that on an average 1-2.3% of patients experience complications[8]. Gallstone ileus occurs due to inflammation and erosion of any part of the biliary tree leading to enterobiliary fistula through which the stone passes. Patients usually present with non-specific symptoms and acute cholecystitis is present in 10–30% cases[9]. Diagnosis clinically poses a challenge due to vague presentation with nonspecific symptoms but a radiological diagnosis on CECT and MRCP can be made. Enterolithotomy is a definitive procedure with or without cholecystectomy, fistula closure. The ongoing inflammation may complicate cholecystectomy and fistula repair. Considering that most patients are older with multiple comorbidities with added physiological stress, multiple procedures are not done in the same setting. Though laparoscopic/ laparoscopy assisted surgeries have reported better efficiency and lesser complications, less availability of equipment and surgeon’s skills and training are often a limiting factor. As there are variabilities in the surgical approaches the patient factors and surgeon factors must be kept well in mind and then to proceed with the surgery of choice. With all these at the back of the mind, higher success rates with lesser hospital stay, perioperative events and mortalities are achievable.

Key words: Keywords: gallstone ileus, jejunum, laparotomy


 
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How to Cite this Article
Pubmed Style

DMK, K DRH, Pai DSA, Raj DMP, . Gallstone Obstruction In Jejunum: A Rare Case. Int J Med Rev Case Rep. Online First: 10 Mar, 2024. doi:10.5455/IJMRCR.172-1669610452


Web Style

DMK, K DRH, Pai DSA, Raj DMP, . Gallstone Obstruction In Jejunum: A Rare Case. https://www.mdpub.net/?mno=133147 [Access: May 31, 2024]. doi:10.5455/IJMRCR.172-1669610452


AMA (American Medical Association) Style

DMK, K DRH, Pai DSA, Raj DMP, . Gallstone Obstruction In Jejunum: A Rare Case. Int J Med Rev Case Rep. Online First: 10 Mar, 2024. doi:10.5455/IJMRCR.172-1669610452



Vancouver/ICMJE Style

DMK, K DRH, Pai DSA, Raj DMP, . Gallstone Obstruction In Jejunum: A Rare Case. Int J Med Rev Case Rep, [cited May 31, 2024]; Online First: 10 Mar, 2024. doi:10.5455/IJMRCR.172-1669610452



Harvard Style

, D. M. K., K, D. R. H., Pai, D. S. A., Raj, D. M. P. & (2023) Gallstone Obstruction In Jejunum: A Rare Case. Int J Med Rev Case Rep, Online First: 10 Mar, 2024. doi:10.5455/IJMRCR.172-1669610452



Turabian Style

, Dr Madan K, Dr Rudresh H K, Dr Sreekar A Pai, Dr Madhu P Raj, and . 2023. Gallstone Obstruction In Jejunum: A Rare Case. International Journal of Medical Reviews and Case Reports, Online First: 10 Mar, 2024. doi:10.5455/IJMRCR.172-1669610452



Chicago Style

, Dr Madan K, Dr Rudresh H K, Dr Sreekar A Pai, Dr Madhu P Raj, and . "Gallstone Obstruction In Jejunum: A Rare Case." International Journal of Medical Reviews and Case Reports Online First: 10 Mar, 2024. doi:10.5455/IJMRCR.172-1669610452



MLA (The Modern Language Association) Style

, Dr Madan K, Dr Rudresh H K, Dr Sreekar A Pai, Dr Madhu P Raj, and . "Gallstone Obstruction In Jejunum: A Rare Case." International Journal of Medical Reviews and Case Reports Online First: 10 Mar, 2024. Web. 31 May 2024 doi:10.5455/IJMRCR.172-1669610452



APA (American Psychological Association) Style

, D. M. K., K, D. R. H., Pai, D. S. A., Raj, D. M. P. & (2023) Gallstone Obstruction In Jejunum: A Rare Case. International Journal of Medical Reviews and Case Reports, Online First: 10 Mar, 2024. doi:10.5455/IJMRCR.172-1669610452