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- Title
Mining The Emerald - A Rare Complication Of A Common Disease.
- Authors
bin Mohd Anuar, Mohd Abdul Hadi; Aziz, Nora Abdul; Chin Wee Ang; Pak-Kai Wong, Michael
- Abstract
Gallstone disease is a common entity worldwide, differs in types according to the dietary, hereditary factors and geographical predispositions. Common sequelae of the disease are cholecystitis, pancreatitis and symptomatic cholelithiasis. However, mechanical bowel obstruction secondary to impacted gallstone as a result from cholecysto-enteral fistula is rare. The diagnosis of gallstone ileus is based upon clinical suspicion of acute bowel obstruction with recent biliary symptoms. The confirmation was presence of pneumobilia, and detection of ectopic gallstone on computed tomography. The operative approaches of either enterolithotomy alone followed by elective fistula closure with cholecystectomy or a single-staged approach performing all the described above at the same setting remained controversial. We presented a case 67 years old lady presented with gallstone ileus, managed successfully with a two-staged surgery approach. The management of either non-operative, single-staged or two-staged surgery relies upon the patient's general comorbidity and the availability of surgical expertise at presentation.
- Subjects
GALLSTONE diagnosis; PANCREATITIS treatment; CHOLECYSTITIS; COMPUTED tomography; COMORBIDITY
- Publication
Surgical Chronicles, 2020, Vol 25, Issue 4, p394
- ISSN
1108-5002
- Publication type
Article