International journal of surgery case reports · 2015
Recurrent gallstone ileus due to a residual gallstone: A case report and literature review.
СтатьяНазвание и аннотация: Перевод пока не подготовлен
Обработка статьи · этапы, ошибки и управление
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История · было → стало
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Apollos J R, Guest R V
Аннотация
INTRODUCTION: Mechanical small bowel obstruction is an uncommon but important complication of cholelithiasis. Recurrent gallstone ileus has historically been considered a rare occurrence; however, the incidence is likely to be underreported and the condition carries a high mortality rate.
PRESENTATION OF CASE: We present a case in which a 67 year old man suffered a recurrence of gallstone ileus 10 days after his initial enterolithotomy, requiring further laparotomy.
DISCUSSION: We review the literature to highlight potential clinical predictors as well as the benefits and pitfalls of management options in preventing repeated episodes of gallstone ileus in the same patient.
CONCLUSION: The presence of multifaceted gallstones and multiple stones of size≥2cm on pre-operative imaging should alert the clinician to potential for recurrence.
PRESENTATION OF CASE: We present a case in which a 67 year old man suffered a recurrence of gallstone ileus 10 days after his initial enterolithotomy, requiring further laparotomy.
DISCUSSION: We review the literature to highlight potential clinical predictors as well as the benefits and pitfalls of management options in preventing repeated episodes of gallstone ileus in the same patient.
CONCLUSION: The presence of multifaceted gallstones and multiple stones of size≥2cm on pre-operative imaging should alert the clinician to potential for recurrence.