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- Title
Gallstone Ileus: A Disease Easily Ignored in the Elderly
- Authors
Chang, Chen-Wang; Shih, Shou-Chuan; Lin, Shee-Chan; Chu, Cheng-Hsin; Wang, Tsang-En; Chang, Wen-Hsiung
- Abstract
Summary: Gallstone ileus is an uncommon cause of small bowel obstruction, accounting for only 1–4% of all intestinal obstructions. In patients with cholelithiasis, only 0.3–0.5% reportedly develop gallstone ileus. However, the condition causes 25% of cases of non-strangulated small bowel obstruction in those over the age of 65 years. We report a patient with gallstone ileus who presented with small bowel obstruction that was initially misdiagnosed. The correct diagnosis was made based on finding an ectopic gallstone on plain abdominal radiography, a cholecystoduodenal fistula, and gallstone impaction in a small bowel follow-through study. [International Journal of Gerontology 2008; 2(1): 18–21]
- Subjects
BOWEL obstructions; GALLSTONES; DISEASES in older people; DIAGNOSTIC errors; ABDOMINAL radiography; FISTULA; PATIENTS
- Publication
International Journal of Gerontology, 2008, Vol 2, Issue 1, p18
- ISSN
1873-9598
- Publication type
Article
- DOI
10.1016/S1873-9598(08)70004-8