A case of successful conservative management of gallstone ileus

Gallstone ileus is an uncommon complication of cholelithiasis but an established cause of mechanical bowel obstruction in the elderly. Perforation of the small intestine proximal to the obstructing gallstone is rare, only a handful of cases having been reported. Management is mainly surgical, but co...

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Detalles Bibliográficos
Autores principales: Monib, Sherif, Elkorety, Mohamed, Thomson, Simon
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Oxford University Press 2019
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6736186/
https://www.ncbi.nlm.nih.gov/pubmed/31528330
http://dx.doi.org/10.1093/jscr/rjz253
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author Monib, Sherif
Elkorety, Mohamed
Thomson, Simon
author_facet Monib, Sherif
Elkorety, Mohamed
Thomson, Simon
author_sort Monib, Sherif
collection PubMed
description Gallstone ileus is an uncommon complication of cholelithiasis but an established cause of mechanical bowel obstruction in the elderly. Perforation of the small intestine proximal to the obstructing gallstone is rare, only a handful of cases having been reported. Management is mainly surgical, but conservative treatment is occasionally appropriate. We report the case of an 86-year-old female who presented with a clinical picture of bowel obstruction, proven to be related to gallstone ileus which resolved spontaneously. We discuss the role of conservative management for this condition.
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spelling pubmed-67361862019-09-16 A case of successful conservative management of gallstone ileus Monib, Sherif Elkorety, Mohamed Thomson, Simon J Surg Case Rep Case Report Gallstone ileus is an uncommon complication of cholelithiasis but an established cause of mechanical bowel obstruction in the elderly. Perforation of the small intestine proximal to the obstructing gallstone is rare, only a handful of cases having been reported. Management is mainly surgical, but conservative treatment is occasionally appropriate. We report the case of an 86-year-old female who presented with a clinical picture of bowel obstruction, proven to be related to gallstone ileus which resolved spontaneously. We discuss the role of conservative management for this condition. Oxford University Press 2019-08-31 /pmc/articles/PMC6736186/ /pubmed/31528330 http://dx.doi.org/10.1093/jscr/rjz253 Text en Published by Oxford University Press and JSCR Publishing Ltd. All rights reserved. © The Author(s) 2019. http://creativecommons.org/licenses/by-nc/4.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/), which permits non-commercial re-use, distribution, and reproduction in any medium, provided the original work is properly cited. For commercial re-use, please contact journals.permissions@oup.com
spellingShingle Case Report
Monib, Sherif
Elkorety, Mohamed
Thomson, Simon
A case of successful conservative management of gallstone ileus
title A case of successful conservative management of gallstone ileus
title_full A case of successful conservative management of gallstone ileus
title_fullStr A case of successful conservative management of gallstone ileus
title_full_unstemmed A case of successful conservative management of gallstone ileus
title_short A case of successful conservative management of gallstone ileus
title_sort case of successful conservative management of gallstone ileus
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6736186/
https://www.ncbi.nlm.nih.gov/pubmed/31528330
http://dx.doi.org/10.1093/jscr/rjz253
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