Gallstone Ileus Decades after Cholecystectomy and Pylorus-Preserving Whipples

We report a case of small bowel obstruction due to gallstone ileus found in a patient with previous pancreaticoduodenectomy (Whipple procedure). Investigation by computed tomography of the abdomen showed a transition point in the midjejunum due to a radioopaque intraluminal mass. Following resuscita...

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Detalles Bibliográficos
Autores principales: Mugino, Miho, Yabe, Takako Eva, Ashford, Bruce
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Hindawi 2020
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7718047/
https://www.ncbi.nlm.nih.gov/pubmed/33294247
http://dx.doi.org/10.1155/2020/8866254
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author Mugino, Miho
Yabe, Takako Eva
Ashford, Bruce
author_facet Mugino, Miho
Yabe, Takako Eva
Ashford, Bruce
author_sort Mugino, Miho
collection PubMed
description We report a case of small bowel obstruction due to gallstone ileus found in a patient with previous pancreaticoduodenectomy (Whipple procedure). Investigation by computed tomography of the abdomen showed a transition point in the midjejunum due to a radioopaque intraluminal mass. Following resuscitation, the patient underwent laparotomy to remove the offending mass from the midjejunum. Subsequent stone analysis confirmed a cholesterol-rich gallstone. This is thus the first description of gallstone ileus following Whipple procedure. The rarity of this presentation and a literature review is presented.
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spelling pubmed-77180472020-12-07 Gallstone Ileus Decades after Cholecystectomy and Pylorus-Preserving Whipples Mugino, Miho Yabe, Takako Eva Ashford, Bruce Case Rep Surg Case Report We report a case of small bowel obstruction due to gallstone ileus found in a patient with previous pancreaticoduodenectomy (Whipple procedure). Investigation by computed tomography of the abdomen showed a transition point in the midjejunum due to a radioopaque intraluminal mass. Following resuscitation, the patient underwent laparotomy to remove the offending mass from the midjejunum. Subsequent stone analysis confirmed a cholesterol-rich gallstone. This is thus the first description of gallstone ileus following Whipple procedure. The rarity of this presentation and a literature review is presented. Hindawi 2020-11-27 /pmc/articles/PMC7718047/ /pubmed/33294247 http://dx.doi.org/10.1155/2020/8866254 Text en Copyright © 2020 Miho Mugino et al. https://creativecommons.org/licenses/by/4.0/ This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Mugino, Miho
Yabe, Takako Eva
Ashford, Bruce
Gallstone Ileus Decades after Cholecystectomy and Pylorus-Preserving Whipples
title Gallstone Ileus Decades after Cholecystectomy and Pylorus-Preserving Whipples
title_full Gallstone Ileus Decades after Cholecystectomy and Pylorus-Preserving Whipples
title_fullStr Gallstone Ileus Decades after Cholecystectomy and Pylorus-Preserving Whipples
title_full_unstemmed Gallstone Ileus Decades after Cholecystectomy and Pylorus-Preserving Whipples
title_short Gallstone Ileus Decades after Cholecystectomy and Pylorus-Preserving Whipples
title_sort gallstone ileus decades after cholecystectomy and pylorus-preserving whipples
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7718047/
https://www.ncbi.nlm.nih.gov/pubmed/33294247
http://dx.doi.org/10.1155/2020/8866254
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