title: Gallstone ileus: endoscopic removal of a gallstone obstructing the upper jejunum.
abstract: In a 91-year-old female patient admitted with an ileus, ultrasound and computed tomography demonstrated the obstruction of the upper jejunum by a large gallstone. Due to concurrent diseases the patient was unfit for surgery. An attempt was made to remove the impacted stone endoscopically. After successful mobilization and fragmentation by mechanical lithotripsy the obstruction was cleared away. Since the patient improved considerably after this procedure, the gallbladder and the cholecystoduodenal fistula were left in place.
authors.affiliation: Department of Internal Medicine, Municipal Clinic of Lüneburg, Lüneburg, Germany.
authors.forename: H
authors.initials: H
authors.lastname: Lübbers
authors.forename: R
authors.initials: R
authors.lastname: Mahlke
authors.forename: P G
authors.initials: PG
authors.lastname: Lankisch
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D002769:Cholelithiasis / Q000150:complications* / Q000601:surgery; D016099:Endoscopy, Gastrointestinal; D005260:Female; D006801:Humans; D007415:Intestinal Obstruction / Q000209:etiology*; D007579:Jejunal Diseases / Q000209:etiology*; D008096:Lithotripsy