title: Gallstone ileus. Report of two cases.
abstract: 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.
authors.affiliation: Department of Surgery, University of Rome "Sapienza", Polo Pontino, Terracina, Latina, Italy.
authors.forename: Erasmo
authors.initials: E
authors.lastname: Spaziani
authors.forename: Marcello
authors.initials: M
authors.lastname: Picchio
authors.forename: Annalisa
authors.initials: A
authors.lastname: Di Filippo
authors.forename: Francesco
authors.initials: F
authors.lastname: De Angelis
authors.forename: Giuseppe
authors.initials: G
authors.lastname: Marino
authors.forename: Franco
authors.initials: F
authors.lastname: Stagnitti
mesh_terms: 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