[A case of jejunal perforation in gallstone ileus].
Gallstone ileus is a rare but important cause of small bowel obstruction in the geriatric population. A 65-year-old man with a twenty year history of cholecystolithiasis was admitted to our hospital with abdominal pain and vomiting. Physical exams showed abdominal defence and rebound tenderness. A plain abdominal X-ray suggested a small bowel obstruction and pneumobilia. CT scan revealed a 2.5-cm gallstone at the jejunum and air in the biliary tree. The patient underwent a emergency laparotomy based on a diagnosis of panperitonitis with a perforation associated with gallstone ileus. Operative findings revealed a jejunal perforation and a impacted stone on the anal side of perforation. Enterolithotomy and jejunal resection were performed with cholecystectomy and repairment of the cholecystoduodenal fistula.
Taira
Akiko
A
Department of Gastroenterology, Hamamatsu Medical Center.
Yamada
Masami
M
Takehira
Yasunori
Y
Kageyama
Fujito
F
Yoshii
Shigeto
S
Murohisa
Gou
G
Yoshida
Kenichi
K
Iwaoka
Yasushi
Y
Terai
Tomohiro
T
Uotani
Takahiro
T
Watanabe
Shinya
S
Noritake
Hidenao
H
Ikematu
Yoshito
Y
Kanai
Toshikazu
T
D000368:Aged; D042882:Gallstones / Q000150:complications*; D006801:Humans; D045823:Ileus / Q000209:etiology*; D007416:Intestinal Perforation / Q000209:etiology*; D007579:Jejunal Diseases / Q000209:etiology*; D008297:Male