title: [Clinical and imaging aspects of gallstone ileus. Experiences with 108 individual observations].
abstract: Cases of gallstone ileus (108) were analyzed retrospectively over 30 years. Even today, when laparoscopic cholecystectomy is done, the incidence of this rare disease remains the same. History, clinical and X-ray findings are non-specific. Aerobilia was seen in 17% of the patients. Since 1992 sonography has provided an exact diagnosis in 10 of 15 cases. In the triad of known gallstone, non-specific epigastric pain with assumed small intestinal obstruction, and impossible detection of a stone in the gallbladder, there is strong suspicion of a gallstone ileus. The evidence is given if the gallstone is seen in the bowels. Intraoperatively more than one stone was found in the intestines in 20%, and cholecystoduodenal fistulas were encountered in 83%. Other fistulas are rare. There has been no significant change in mortality for 30 years.
authors.affiliation: Klinik für Allgemein- und Abdominalchirurgie, Krankenhaus Dresden-Friedrichstadt.
authors.forename: M
authors.initials: M
authors.lastname: Freitag
authors.forename: I
authors.initials: I
authors.lastname: Elsner
authors.forename: U
authors.initials: U
authors.lastname: Günl
authors.forename: W
authors.initials: W
authors.lastname: Albert
authors.forename: K
authors.initials: K
authors.lastname: Ludwig
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D001658:Biliary Fistula / Q000175:diagnosis / Q000601:surgery; D017081:Cholecystectomy, Laparoscopic; D002769:Cholelithiasis / Q000175:diagnosis* / Q000601:surgery; D003937:Diagnosis, Differential; D003952:Diagnostic Imaging; D005260:Female; D006801:Humans; D007415:Intestinal Obstruction / Q000175:diagnosis* / Q000601:surgery; D008297:Male; D008875:Middle Aged; D017562:Postcholecystectomy Syndrome / Q000175:diagnosis / Q000601:surgery; D011183:Postoperative Complications / Q000175:diagnosis* / Q000601:surgery; D012086:Reoperation; D012680:Sensitivity and Specificity
vernacular_title: Klinische und bildgebende Aspekte des Gallensteinileus. Erfahrungen mit 108 Einzelbeobachtungen.