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Laparoscopic management of gallstone ileus: A case report and literature review

INTRODUCTION AND IMPORTANCE: Gallstone ileus is an uncommon complication of cholelithiasis. It is usually presented as a small bowel obstruction. Elderly patients are commonly affected. The diagnosis is challenging, since needs a high index of suspicion and imagenology is key. Surgery is the mainsta...

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Autores principales: Orellana, Matías, Vegas, Liumariel, Cáceres, Alfredo, Villarroel, Marcelo, Soto, Pedro
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8278418/
https://www.ncbi.nlm.nih.gov/pubmed/34247123
http://dx.doi.org/10.1016/j.ijscr.2021.106171
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author Orellana, Matías
Vegas, Liumariel
Cáceres, Alfredo
Villarroel, Marcelo
Soto, Pedro
author_facet Orellana, Matías
Vegas, Liumariel
Cáceres, Alfredo
Villarroel, Marcelo
Soto, Pedro
author_sort Orellana, Matías
collection PubMed
description INTRODUCTION AND IMPORTANCE: Gallstone ileus is an uncommon complication of cholelithiasis. It is usually presented as a small bowel obstruction. Elderly patients are commonly affected. The diagnosis is challenging, since needs a high index of suspicion and imagenology is key. Surgery is the mainstay management, most commonly performed by laparotomy, but laparoscopy is summing cases. Nevertheless the approach is still controversial. We report a gallstone ileus case, that was managed totally laparoscopic in our medium complex public institution. CASE PRESENTATION: An 71 years-old male patient, with symptomatic cholelithiasis, consulted in emergency department with symptoms and signs of small bowel obstruction. Computed tomography of abdomen and pelvis showed the classical Rigler's triad. Totally laparoscopic enterolithotomy alone was performed successfully. Postoperative evolution was without incidents, being discharge at fifth day. CLINICAL DISCUSSION: Gallstone ileus represents around 0,3–0,5% of cholelithiasis complications. Mostly affect elderly women patients, with comorbidities. Mortality and morbidity is still high nowadays. The classical management of gallstone ileus is the open surgery, but the laparoscopic approach has been described and it can be done. CONCLUSION: The laparoscopic management of gallstone ileus is effective and secure procedure and seems reasonable to attempt if the conditions and skills are available.
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spelling pubmed-82784182021-07-19 Laparoscopic management of gallstone ileus: A case report and literature review Orellana, Matías Vegas, Liumariel Cáceres, Alfredo Villarroel, Marcelo Soto, Pedro Int J Surg Case Rep Case Report INTRODUCTION AND IMPORTANCE: Gallstone ileus is an uncommon complication of cholelithiasis. It is usually presented as a small bowel obstruction. Elderly patients are commonly affected. The diagnosis is challenging, since needs a high index of suspicion and imagenology is key. Surgery is the mainstay management, most commonly performed by laparotomy, but laparoscopy is summing cases. Nevertheless the approach is still controversial. We report a gallstone ileus case, that was managed totally laparoscopic in our medium complex public institution. CASE PRESENTATION: An 71 years-old male patient, with symptomatic cholelithiasis, consulted in emergency department with symptoms and signs of small bowel obstruction. Computed tomography of abdomen and pelvis showed the classical Rigler's triad. Totally laparoscopic enterolithotomy alone was performed successfully. Postoperative evolution was without incidents, being discharge at fifth day. CLINICAL DISCUSSION: Gallstone ileus represents around 0,3–0,5% of cholelithiasis complications. Mostly affect elderly women patients, with comorbidities. Mortality and morbidity is still high nowadays. The classical management of gallstone ileus is the open surgery, but the laparoscopic approach has been described and it can be done. CONCLUSION: The laparoscopic management of gallstone ileus is effective and secure procedure and seems reasonable to attempt if the conditions and skills are available. Elsevier 2021-07-07 /pmc/articles/PMC8278418/ /pubmed/34247123 http://dx.doi.org/10.1016/j.ijscr.2021.106171 Text en © 2021 The Authors https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Case Report
Orellana, Matías
Vegas, Liumariel
Cáceres, Alfredo
Villarroel, Marcelo
Soto, Pedro
Laparoscopic management of gallstone ileus: A case report and literature review
title Laparoscopic management of gallstone ileus: A case report and literature review
title_full Laparoscopic management of gallstone ileus: A case report and literature review
title_fullStr Laparoscopic management of gallstone ileus: A case report and literature review
title_full_unstemmed Laparoscopic management of gallstone ileus: A case report and literature review
title_short Laparoscopic management of gallstone ileus: A case report and literature review
title_sort laparoscopic management of gallstone ileus: a case report and literature review
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8278418/
https://www.ncbi.nlm.nih.gov/pubmed/34247123
http://dx.doi.org/10.1016/j.ijscr.2021.106171
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