Gallstone Ileus: Case Presentation

Yıl 2012, Cilt: 12 Sayı: 3, 162 - 164, 01.03.2012

Metin Eser Ahmet Gürer İbrahim Kılınç Gülten Kıyak Gürkan Dumlu Bülent Demirbaş

Öz

Gallstone ileus is a rare cause of small bowel obstruction.
Two patients aged 64 and 66 presented with abdominal
pain, nausea and constipation applied to our hospital and
were taken to operation with acute abdomen prediagnosis.
In both cases, gallstone ileus was detected intraoperatively
and the stone was removed by enterolithotomy. The patients
were discharged from the hospital after postoperative care.
Finding that lithotomy was enough, any new surgical treatment was not considered during postoperative monitoring.
In this case report, we presented the surgical treatment and
other treatment choices of gallstone ileus in two patients
and discussed the cases with respect to the literature

Anahtar Kelimeler

Gallstone ileus, small bowel obstruction, enterolithotomy

Safra Taşı İleusu: Olgu Sunumu

Öz

Safra taşı ileusu ince bağırsak obstrüksiyonlarının nadir bir nedenidir. Kliniğimize karın ağrısı, bulantı ve gaz-gaita çıkaramama şikayeti ile başvuran 66 ve 64 yaşlarında iki hasta akut batın öntanısı ile operasyona alındı. Her iki olguda da intraoperatif safra taşı ileusu tespit edilip enterolitotomi ile taş çıkarıldı. Hastalar postoperatif bakımlarını takiben taburcu edildi. Olguların yapılan takiplerinde litotomi ile yetinilip ek bir cerrahi girişim düşünülmedi. Bu sunumda, yaptığımız cerrahi tedavi ve literatürdeki tedavi seçenekleri ile ilgili bilgi verildi.

Anahtar Kelimeler

Safra taşı ileusu, ince bağırsak obstrüksiyonu, enterolitotomi

Kaynakça

• 1. Doko M, Zovak M, Kopljar M, et al. Comparison of surgical treatments of gallstone ileus: preliminary report. World J Surg 2003; 27(4): 400-404.
• 2. Way LW. Surgical diagnosis and treatment. Biliary tract. Current. 10th edition; Appleton and Lange 1994: 553-554.
• 3. Reisner RM, Cohen JR. Gallstone ileus: a review of 1001 reported cases. Am Surg 1994;60(6): 441-446.
• 4. Kasahara Y, Umemura H, Shiraha S, et al. Gallstone ileus. Review of 112 patients in the japans literature. Am J Surg 1980; 140(3):437-440
• 5. Khaira HS, Thomas DR. Gallstone emesis and ileus caused by common hepatic duct-duodenal fistula. Br J Surg 1994; 81(5): 723.
• 6. Agresta F, Bedin N. Gallstone ileus as a complication of acute cholecystitis. Laparoscopic diagnosis and treatment. Surg Endosc 2002; 16(11): 1637-1641.
• 7. Rodriguez-San Juan JC, Casado F, Fernandez MJ, Morales DJ, Naranjo A. Cholecystectomy and fistula closure versus enterolithotomy alone in gallstone ileus. Br J Surg 1997; 84(5): 634-637.
• 8. Cooper SG, Sherman SB, Steinhardt JE, Wilson JM, Richman AH. Bouveret’s syndrome : Diagnostic considerations. JAMA 1987; 258(2): 226-228
• 9. Clavien PA, Richon J, Burgan S, Rohner A. Gallstone ileus. Br J Surg. 1990; 77(7): 737-742.
• 10. Elamyal R, Kapala A, Zegarski W. Case Report Obstruction of the Small Intestine by a Large Gallstone. Kuwait Medical Journal 2002, 34(4): 306-307.
• 11. Yamada T, Alpers DH, Owyang C, et al. Textbook of gastroenterology. Diseases of the biliary tree-Biliary fistula. JB Lippincott Company; 1991: 2013.
• 12. Nakamoto Y, Saga T, Fjishiro S, et al. Gallstone ileus with impaction at the neck of a Meckel’s diverticulum. Br J Radiol 1998; 71:1320-1322.
• 13. Gaiani S, Serra C, Cervellera M, et al. Gallstone ileus in Caroli’s disease. Am J Gastroenterol 2000; 95(12): 3642-3643.
• 14. Schwartz SI, Shires GT, Spencer FC, et al. Principles of surgery. Gallbladder and extrahepatic system. McGraw Hill; 1999: 1450- 1452.
• 15. Way LW, Pellegrini CA. Gallstone ileus. In: Way LW, ed. Surgery of gallbladder and bile duct. Philadelphia: WB saunders Co.; 1987: 275-282.
• 16. Gümüş M, Gümüş H, Çelebi F, Safra Taşı İleusu, AÜTD 2002, 34:47-49
• 17. Tan YM, Wong WK, Ooi LL. A comparison of two surgical strategies for the emergency treatment of gallstone ileus. Singapore Med J. 2004; 45(2): 69-72.