Product information "Gall Stone Ileus"
Clinical History
A 54-year-old man was admitted after 12?hours of severe colicky pain, nausea, and vomiting. He also had a 3-year history of intermittent right upper abdominal pain untreated until now. Acute bowel obstruction was diagnosed, and a laparotomy performed.
Pathology
An opened segment of small intestine revealed a large, pigmented, rough-surfaced gallstone obstructing the lumen: a classic case of gallstone ileus.
Further Information
Gallstone ileus is a rare cause (~0.5?%) of bowel obstruction, more often in elderly or female patients. It usually results from a biliary–enteric fistula (sometimes post-sphincterotomy). Stones are typically =2?cm and lodge in the ileum (70?%), or other narrowed sites. Symptoms may be intermittent. Diagnosis is confirmed radiologically (often CT) or during surgery — following Rigler’s triad: small-bowel obstruction, ectopic gallstone, and pneumobilia. Treatment is surgical: remove the stone, close the fistula, and perform cholecystectomy; staged procedures may be required.
A 54-year-old man was admitted after 12?hours of severe colicky pain, nausea, and vomiting. He also had a 3-year history of intermittent right upper abdominal pain untreated until now. Acute bowel obstruction was diagnosed, and a laparotomy performed.
Pathology
An opened segment of small intestine revealed a large, pigmented, rough-surfaced gallstone obstructing the lumen: a classic case of gallstone ileus.
Further Information
Gallstone ileus is a rare cause (~0.5?%) of bowel obstruction, more often in elderly or female patients. It usually results from a biliary–enteric fistula (sometimes post-sphincterotomy). Stones are typically =2?cm and lodge in the ileum (70?%), or other narrowed sites. Symptoms may be intermittent. Diagnosis is confirmed radiologically (often CT) or during surgery — following Rigler’s triad: small-bowel obstruction, ectopic gallstone, and pneumobilia. Treatment is surgical: remove the stone, close the fistula, and perform cholecystectomy; staged procedures may be required.
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Erler-Zimmer
Erler-Zimmer GmbH & Co.KG
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Germany
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