Unusual presentation of gallstones.
Gallstones are usually asymptomatic in the majority of patients. Gallstones can migrate through a cholecysto-duodenal fistula and may cause an intestinal obstruction anywhere along the gastrointestinal tract. The obstruction usually occurs at the level of the ileocecal valve. In most cases, the clinical presentation includes symptoms related to the intestinal obstruction including abdominal pain and vomiting. We report an unusual case of gallstones presented with acute prerenal azotemia as the major manifestation.
Hassan
Kamal
K
Nephrology and Hypertension Department, Western Galilee Hospital, Nahariya, 22100 Israel. drkamalh@hotmail.com
Khakhiashvili
Avtandil
A
Awawdeh
Mohamed
M
Afraimovitch
Irina
I
Hassan
Shadi
S
Kristal
Batya
B
D000368:Aged; D001806:Blood Urea Nitrogen; D002763:Cholecystectomy / Q000379:methods; D003937:Diagnosis, Differential; D005260:Female; D042882:Gallstones / Q000150:complications* / Q000000981:diagnostic imaging / Q000601:surgery; D006801:Humans; D007077:Ileal Diseases / Q000150:complications* / Q000000981:diagnostic imaging / Q000601:surgery; D007415:Intestinal Obstruction / Q000150:complications* / Q000000981:diagnostic imaging / Q000601:surgery; D014057:Tomography, X-Ray Computed; D014511:Uremia / Q000097:blood / Q000175:diagnosis / Q000209:etiology*