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Gallstone ileus following endoscopic retrograde cholangiopancreatography and sphincterotomy: a case report

INTRODUCTION: Gallstone ileus is a mechanical obstruction caused by the impaction of one or more gallstones within the lumen of any part of the gastrointestinal tract. Although the disorder is a rare cause of small bowel obstruction (1% to 2%), it has been reported to cause up to 25% of cases of non...

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Autores principales: Goyal, Amit, Srivastava, Anurag
Formato: Texto
Lenguaje:English
Publicado: BioMed Central 2008
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2584010/
https://www.ncbi.nlm.nih.gov/pubmed/18990216
http://dx.doi.org/10.1186/1752-1947-2-342
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author Goyal, Amit
Srivastava, Anurag
author_facet Goyal, Amit
Srivastava, Anurag
author_sort Goyal, Amit
collection PubMed
description INTRODUCTION: Gallstone ileus is a mechanical obstruction caused by the impaction of one or more gallstones within the lumen of any part of the gastrointestinal tract. Although the disorder is a rare cause of small bowel obstruction (1% to 2%), it has been reported to cause up to 25% of cases of non-strangulated small bowel obstruction in patients over 65 years of age. CASE PRESENTATION: We report a case of a 67-year-old woman who presented with gallstone ileus following endoscopic retrograde cholangiopancreatography and sphincterotomy for choledocholithiasis. She had a history of terminal ileum resection with ileocolic anastomosis for Crohn's disease. A 3 cm gallstone was found to be impacted just proximal to the previous ileocolic anastomosis. A second gallstone was found on digital examination of the proximal small bowel. CONCLUSION: A gallstone may enter the gastrointestinal tract following endoscopic retrograde cholangiopancreatography and sphincterotomy and impact proximal to an anastomotic stricture as demonstrated here. The radiographic image of small bowel obstruction plus air in the biliary tree is a classic diagnostic finding. After stone extraction, the entire small bowel and colon should be digitally examined for further stones.
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spelling pubmed-25840102008-11-18 Gallstone ileus following endoscopic retrograde cholangiopancreatography and sphincterotomy: a case report Goyal, Amit Srivastava, Anurag J Med Case Reports Case Report INTRODUCTION: Gallstone ileus is a mechanical obstruction caused by the impaction of one or more gallstones within the lumen of any part of the gastrointestinal tract. Although the disorder is a rare cause of small bowel obstruction (1% to 2%), it has been reported to cause up to 25% of cases of non-strangulated small bowel obstruction in patients over 65 years of age. CASE PRESENTATION: We report a case of a 67-year-old woman who presented with gallstone ileus following endoscopic retrograde cholangiopancreatography and sphincterotomy for choledocholithiasis. She had a history of terminal ileum resection with ileocolic anastomosis for Crohn's disease. A 3 cm gallstone was found to be impacted just proximal to the previous ileocolic anastomosis. A second gallstone was found on digital examination of the proximal small bowel. CONCLUSION: A gallstone may enter the gastrointestinal tract following endoscopic retrograde cholangiopancreatography and sphincterotomy and impact proximal to an anastomotic stricture as demonstrated here. The radiographic image of small bowel obstruction plus air in the biliary tree is a classic diagnostic finding. After stone extraction, the entire small bowel and colon should be digitally examined for further stones. BioMed Central 2008-11-06 /pmc/articles/PMC2584010/ /pubmed/18990216 http://dx.doi.org/10.1186/1752-1947-2-342 Text en Copyright © 2008 Goyal and Srivastava; licensee BioMed Central Ltd. http://creativecommons.org/licenses/by/2.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution License ( (http://creativecommons.org/licenses/by/2.0) ), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Goyal, Amit
Srivastava, Anurag
Gallstone ileus following endoscopic retrograde cholangiopancreatography and sphincterotomy: a case report
title Gallstone ileus following endoscopic retrograde cholangiopancreatography and sphincterotomy: a case report
title_full Gallstone ileus following endoscopic retrograde cholangiopancreatography and sphincterotomy: a case report
title_fullStr Gallstone ileus following endoscopic retrograde cholangiopancreatography and sphincterotomy: a case report
title_full_unstemmed Gallstone ileus following endoscopic retrograde cholangiopancreatography and sphincterotomy: a case report
title_short Gallstone ileus following endoscopic retrograde cholangiopancreatography and sphincterotomy: a case report
title_sort gallstone ileus following endoscopic retrograde cholangiopancreatography and sphincterotomy: a case report
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2584010/
https://www.ncbi.nlm.nih.gov/pubmed/18990216
http://dx.doi.org/10.1186/1752-1947-2-342
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