Intermittent gallstone ileus following endoscopic biliary sphincterotomy. A case report.
A 72-year-old woman presented with periods of colicky abdominal pain following endoscopic sphincterotomy and lithotripsy for choledocholithiasis. A diagnosis of intermittent gallstone ileus was made, while it appeared that a large gallstone, that was not removed from the common bile duct, obstructed the small bowel. The intermittent course was elicited by pendulation of a gallstone between two stenoses, which originated from chronic radiation enteritis.
Oskam
J
J
Dept. of Surgery, Deventer Hospital, The Netherlands.
Heitbrink
M
M
Eeftinck Schattenkerk
M
M
D000368:Aged; D002760:Cholangiopancreatography, Endoscopic Retrograde; D005260:Female; D042882:Gallstones / Q000150:complications / Q000000981:diagnostic imaging / Q000601:surgery*; D006801:Humans; D007415:Intestinal Obstruction / Q000000981:diagnostic imaging / Q000209:etiology*; D008096:Lithotripsy; D011183:Postoperative Complications / Q000601:surgery; D016717:Sphincterotomy, Endoscopic