Gallstone ileus. Report of two cases.
Gallstone ileus is uncommon. Gallstone impaction in the jejunum was rarely reported. We report two cases of gallstone impaction in the proximal jejunum and in the distal ileum. One patient was treated with enterolithotomy alone and in the other one enterolithotomy was combined to cholecystectomy and repair of a cholecystoduodenal fistula. Contrast-enhanced computed tomography of the abdomen is the mainstay of diagnosis. One-stage procedure including both enterolithotomy and cholecystectomy with bilioenteric fistula repair should be reserved to low-risk patients.
Spaziani
Erasmo
E
Department of Surgery, University of Rome "Sapienza", Polo Pontino, Terracina, Latina, Italy.
Picchio
Marcello
M
Di Filippo
Annalisa
A
De Angelis
Francesco
F
Marino
Giuseppe
G
Stagnitti
Franco
F
D000369:Aged, 80 and over; D005260:Female; D042882:Gallstones / Q000150:complications* / Q000175:diagnosis / Q000601:surgery; D006801:Humans; D045823:Ileus / Q000150:complications* / Q000175:diagnosis / Q000601:surgery; D007579:Jejunal Diseases / Q000150:complications* / Q000175:diagnosis / Q000601:surgery; D008297:Male; D008875:Middle Aged