Pathophysiology, Diagnosis, and Treatment of Colonic Gallstone Ileus in an Elderly Patient

Gallstone ileus is a rare entity, and an obstructing gallstone in the left colon is even less frequent. A 78-year-old man was evaluated for abdominal distension and pain, associated with a lack of bowel movements in the past 5 days. An abdominal computed tomography showed a cholecystocolonic fistula...

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Detalles Bibliográficos
Autores principales: Laxague, Francisco, Ramos, Paula M., Zanfardini, Andrés, Schlottmann, Francisco
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Wolters Kluwer 2020
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7224713/
https://www.ncbi.nlm.nih.gov/pubmed/32548191
http://dx.doi.org/10.14309/crj.0000000000000363
Descripción
Sumario:Gallstone ileus is a rare entity, and an obstructing gallstone in the left colon is even less frequent. A 78-year-old man was evaluated for abdominal distension and pain, associated with a lack of bowel movements in the past 5 days. An abdominal computed tomography showed a cholecystocolonic fistula associated with a gallstone in the descending colon. During the operation, the gallstone was retrieved through a longitudinal colotomy proximal to the impaction site, which was then closed.

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