| Gallstone Ileus in 83-Year-Old Woman |
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Song Hee Oh, Jun Ho Jo, Il Soo Kim, Woo Young Kim, Kun Woo Park, Min Woong Jung, Jong Ik Park, Se Ryeong Park |
1Department of Internal Medicine, Busan Veterans Hospital, Busan, Korea. kims2192@naver.com
2Department of Sugery, Busan Veterans Hospital, Busan, Korea. |
| 83세 여자 환자에서 발생한 담석 장폐쇄 1예 |
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오송희1⦁조준호1⦁김일수1⦁김우영2⦁박건우1⦁정민웅1⦁박종익1⦁박세령1 |
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부산보훈병원 내과1, 외과2 |
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| Abstract |
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Gallstone ileus is a rare complication of the biliary stone, occurring in 0.3-0.5% of patients with cholelithiasis. The mortality rate is high at 12-27% and early diagnosis and prompt management can improve its prognosis. An 83-year-old woman was admitted to the hospital with abdominal pain. The patient previously had a hysterectomy and had received radiation therapy for uterine cancer. Plain abdominal x-ray showed typical findings of small bowel ileus with step ladder patterns. Computed tomography (CT) scan revealed biliary-enteric fistula with a 3-cm-sized gallstone in the jejunal loop. Surgical treatment was planned but due to the patient's wish, conservative treatment was provided for 10 days. In the follow-up CT scan, the stone had moved to the distal ileum but intestinal perforation was suspected. Ileocecectomy and adhesiolysis were performed and the patient recovered fully. Here we report a case of gallstone ileus that was treated by surgical removal after 10 days of conservative treatment. |
| Key Words:
Gallstones, Ileus, Intestinal perforation |
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