Gallstone Ileus: A Case Report in a 74-Year-Old Male

Am Surg. 2023 Aug;89(8):3612-3613. doi: 10.1177/00031348231167398. Epub 2023 Mar 23.

Abstract

Gallstone ileus is a rare complication of complicated gallbladder disease. Typically the result of a cholecystocholeduodenal fistula, a gallstone enters the small bowel and impacts in the ileum causing an obstruction. In this case study, a 74-year-old male presented to the emergency department with nausea, vomiting, and constipation for 2 weeks. CT revealed pneumobilia and a 3.1 cm calcified mass in the terminal ileum. The patient was successfully treated with a robotic-assisted enterotomy alone without complications.

Keywords: Anatomy; gastrointestinal; general surgery.

Publication types

  • Case Reports

MeSH terms

  • Aged
  • Gallstones* / complications
  • Gallstones* / diagnostic imaging
  • Gallstones* / surgery
  • Humans
  • Ileum
  • Ileus* / diagnostic imaging
  • Ileus* / etiology
  • Intestinal Obstruction* / diagnostic imaging
  • Intestinal Obstruction* / etiology
  • Intestinal Obstruction* / surgery
  • Intestine, Small
  • Male