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A case of recurrent gallstone ileus within 1 week post enterolithotomy
Gallstone ileus (GSI) is a rare pathology, affecting 0.3–0.5% of people with cholelithiasis and accounting for 0.1% of mechanical bowel obstructions. It carries a high mortality of 12–27%. The rate of recurrence following a first episode of GSI is relatively high at 5–20%. Very early recurrence, wit...
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Oxford University Press
2022
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Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8898053/ https://www.ncbi.nlm.nih.gov/pubmed/35261728 http://dx.doi.org/10.1093/jscr/rjac057 |
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author | Doole, Emily |
author_facet | Doole, Emily |
author_sort | Doole, Emily |
collection | PubMed |
description | Gallstone ileus (GSI) is a rare pathology, affecting 0.3–0.5% of people with cholelithiasis and accounting for 0.1% of mechanical bowel obstructions. It carries a high mortality of 12–27%. The rate of recurrence following a first episode of GSI is relatively high at 5–20%. Very early recurrence, within the first week, poses several challenges in both diagnosis and management. This case describes an 84-year-old woman who presented with a mechanical bowel obstruction secondary to gallstone impacted in the distal jejunum. This was managed operatively and the patient progressed well. The patient developed an early recurrent gallstone ileus, confirmed on computed tomography (CT) on Day 7 postoperatively. This was initially mistaken for a postoperative ileus. Early recurrent gallstone ileus can easily be mistaken for more common postoperative complications. Given its high mortality, consideration should be given to early investigation with CT to rule out recurrent GSI. |
format | Online Article Text |
id | pubmed-8898053 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | Oxford University Press |
record_format | MEDLINE/PubMed |
spelling | pubmed-88980532022-03-07 A case of recurrent gallstone ileus within 1 week post enterolithotomy Doole, Emily J Surg Case Rep Case Report Gallstone ileus (GSI) is a rare pathology, affecting 0.3–0.5% of people with cholelithiasis and accounting for 0.1% of mechanical bowel obstructions. It carries a high mortality of 12–27%. The rate of recurrence following a first episode of GSI is relatively high at 5–20%. Very early recurrence, within the first week, poses several challenges in both diagnosis and management. This case describes an 84-year-old woman who presented with a mechanical bowel obstruction secondary to gallstone impacted in the distal jejunum. This was managed operatively and the patient progressed well. The patient developed an early recurrent gallstone ileus, confirmed on computed tomography (CT) on Day 7 postoperatively. This was initially mistaken for a postoperative ileus. Early recurrent gallstone ileus can easily be mistaken for more common postoperative complications. Given its high mortality, consideration should be given to early investigation with CT to rule out recurrent GSI. Oxford University Press 2022-03-04 /pmc/articles/PMC8898053/ /pubmed/35261728 http://dx.doi.org/10.1093/jscr/rjac057 Text en Published by Oxford University Press and JSCR Publishing Ltd. © The Author(s) 2022. https://creativecommons.org/licenses/by/4.0/This is an Open Access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted reuse, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Case Report Doole, Emily A case of recurrent gallstone ileus within 1 week post enterolithotomy |
title | A case of recurrent gallstone ileus within 1 week post enterolithotomy |
title_full | A case of recurrent gallstone ileus within 1 week post enterolithotomy |
title_fullStr | A case of recurrent gallstone ileus within 1 week post enterolithotomy |
title_full_unstemmed | A case of recurrent gallstone ileus within 1 week post enterolithotomy |
title_short | A case of recurrent gallstone ileus within 1 week post enterolithotomy |
title_sort | case of recurrent gallstone ileus within 1 week post enterolithotomy |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8898053/ https://www.ncbi.nlm.nih.gov/pubmed/35261728 http://dx.doi.org/10.1093/jscr/rjac057 |
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