title: Gallstone Ileus Post-cholecystectomy.
abstract: Gallstone ileus is a rather rare condition and in most cases it involves a cholecysto-enteric fistula, through which a gallstone passes into the bowel. If the gallstone is large enough it may obstruct the bowel and a gallstone ileus emerges. In the presented case, the patient was subjected to a cholecystectomy over 40 years ago, but despite this, he developed a gallstone ileus. A gallstone that obstructed the small bowel was suspected with computed tomography and confirmed with exploratory laparotomy. Although a few cases of gallstone ileus after cholecystectomy are described in the literature, our case describes a unique pathogenic mechanism.
authors.affiliation: Department of Surgical Sciences, Uppsala University, Uppsala Sweden.
authors.forename: C
authors.initials: C
authors.lastname: Månsson
authors.forename: O
authors.initials: O
authors.lastname: Norlén
mesh_terms: D000369:Aged, 80 and over; D002763:Cholecystectomy / Q000009:adverse effects*; D042882:Gallstones / Q000150:complications* / Q000175:diagnosis / Q000601:surgery; D006801:Humans; D007077:Ileal Diseases / Q000175:diagnosis* / Q000209:etiology* / Q000601:surgery; D045823:Ileus / Q000175:diagnosis* / Q000209:etiology* / Q000601:surgery; D008297:Male; D013997:Time Factors