Gallstone ileus in the Jordanian Royal Medical Services in a 10-year period.
Six patients (5 women and 1 man, with a median age of 71 years) were operated on for gallstone ileus in the 10-year period 1988-98. The diagnosis was made before operation in 2 patients. The obstructing stones were located in the terminal ileum in 3 patients and in the proximal ileum or jejunum in 3 patients. Choledochoduodenal fistula was present in all patients. A single-stage procedure (removal of the impacted stone, fistula repair and cholecystectomy) was performed in 1 patient, enterolithotomy alone in 4 patients and resection of part of the intestine where the stone was impacted with primary anastomosis performed in 1 patient. In the postoperative period, 2 patients developed infection of the wound and 2 patients developed deep vein thrombosis; 1 of these died of pulmonary embolism.
Department of General Surgery, King Hussein Medical Centre, Amman, Jordan.
S M
SM
Jarbou
F A
FA
al-Hammouri
D017677:Age Distribution; D000368:Aged; D000369:Aged, 80 and over; D001658:Biliary Fistula / Q000150:complications* / Q000175:diagnosis / Q000453:epidemiology / Q000601:surgery; D002763:Cholecystectomy; D002769:Cholelithiasis / Q000150:complications* / Q000175:diagnosis / Q000453:epidemiology / Q000601:surgery; D004378:Duodenal Diseases / Q000150:complications* / Q000175:diagnosis / Q000453:epidemiology / Q000601:surgery; D005260:Female; D006801:Humans; D007077:Ileal Diseases / Q000209:etiology*; D007412:Intestinal Fistula / Q000150:complications* / Q000175:diagnosis / Q000453:epidemiology / Q000601:surgery; D007415:Intestinal Obstruction / Q000209:etiology*; D007579:Jejunal Diseases / Q000209:etiology*; D007597:Jordan / Q000453:epidemiology; D008297:Male; D008875:Middle Aged; D010343:Patient Admission / Q000706:statistics & numerical data