Gallstone ileus. Report of two cases

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Published: Jan 1, 2010
Keywords:
Gallstone ileus, Small bowel, Surgery

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Erasmo Spaziani
Department of Surgery, University of Rome “Sapienza”, Polo Pontino, Terracina, Latina, Italy
Marcello Picchio
Department of Surgery, Civil Hospital “P. Colombo”, Velletri, Rome, Italy
Annalisa Di Filippo
Department of Surgery, University of Rome “Sapienza”, Polo Pontino, Terracina, Latina, Italy
Francesco De Angelis
Department of Surgery, University of Rome “Sapienza”, Polo Pontino, Terracina, Latina, Italy
Giuseppe Marino
Department of Surgery, Civil Hospital “P. Colombo”, Velletri, Rome, Italy
Franco Stagnitti
Department of Surgery, University of Rome “Sapienza”, Polo Pontino, Terracina, Latina, Italy

Abstract

Gallstone ileus is uncommon. Gallstone impaction in the jejunum was rarely reported.


We report two cases of gallstone impaction in the proximal jejunum and in the distal ileum. One patient was treated with enterolithotomy alone and in the other one enterolithotomy was combined to cholecystectomy and repair of a cholecystoduodenal fistula.


Contrast-enhanced computed tomography of the abdomen is the mainstay of diagnosis. One-stage procedure including both enterolithotomy and cholecystectomy with bilioenteric fistula repair should be reserved to low-risk patients.

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How to Cite
Spaziani, Erasmo, et al. “Gallstone Ileus. Report of Two Cases”. Annali Italiani Di Chirurgia, vol. 81, no. 1, Jan. 2010, pp. 53-55, https://annaliitalianidichirurgia.it/index.php/aic/article/view/2789.
Issue
Vol. 81 No. 1 (2010)
Section
Case Report