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- Title
An unusual case of gallstone ileus 35 years post-cholecystectomy masked by an incisional hernia.
- Authors
Gordon, Christian I; Molina, Gabriel A; Diaz, Johann S; Mancero, Maria B; Heredia, Andrea E; Parrales, Diana E; Larco, Jesus N
- Abstract
Gallstone ileus is an uncommon cause of mechanical bowel obstruction in patients with cholecystitis and gallstones who develop a fistula over time. In the post-cholecystectomy patient, the presence of gallstone ileus is extremely rare; these patients have different pathophysiological pathways, such as a spilled gallstone that subsequently erodes into the bowel, subtotal cholecystectomies, and diverticulae that can hold a gallstone for hidden several years. In these patients, the clinical presentations are unique because of their rarity and because the gallbladder had been previously removed. A high index of suspicion by the medical team is needed for diagnosis. We present the case of an 85-year-old male who had a history of cholecystectomy 35 years ago. He presented to the emergency department with intestinal obstruction. Since he had a hernia, it was thought to be the cause of the obstruction; however, during surgery, we were surprised to find a gallstone ileus. After surgery, he fully recovered.
- Subjects
GALLSTONES; HERNIA; BOWEL obstructions; SYMPTOMS; CHOLECYSTITIS; HOSPITAL emergency services
- Publication
Journal of Surgical Case Reports, 2024, Vol 2024, Issue 5, p1
- ISSN
2042-8812
- Publication type
Case Study
- DOI
10.1093/jscr/rjae307