title: [A case of jejunal perforation in gallstone ileus].
abstract: 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.
authors.affiliation: Department of Gastroenterology, Hamamatsu Medical Center.
authors.forename: Akiko
authors.initials: A
authors.lastname: Taira
authors.forename: Masami
authors.initials: M
authors.lastname: Yamada
authors.forename: Yasunori
authors.initials: Y
authors.lastname: Takehira
authors.forename: Fujito
authors.initials: F
authors.lastname: Kageyama
authors.forename: Shigeto
authors.initials: S
authors.lastname: Yoshii
authors.forename: Gou
authors.initials: G
authors.lastname: Murohisa
authors.forename: Kenichi
authors.initials: K
authors.lastname: Yoshida
authors.forename: Yasushi
authors.initials: Y
authors.lastname: Iwaoka
authors.forename: Tomohiro
authors.initials: T
authors.lastname: Terai
authors.forename: Takahiro
authors.initials: T
authors.lastname: Uotani
authors.forename: Shinya
authors.initials: S
authors.lastname: Watanabe
authors.forename: Hidenao
authors.initials: H
authors.lastname: Noritake
authors.forename: Yoshito
authors.initials: Y
authors.lastname: Ikematu
authors.forename: Toshikazu
authors.initials: T
authors.lastname: Kanai
mesh_terms: D000368:Aged; D042882:Gallstones / Q000150:complications*; D006801:Humans; D045823:Ileus / Q000209:etiology*; D007416:Intestinal Perforation / Q000209:etiology*; D007579:Jejunal Diseases / Q000209:etiology*; D008297:Male