Gallstone ileus of the sigmoid colon: a case report
Gallstone ileus is a rare form of mechanical bowel obstruction with a biliary calculus due to complicated biliary lithiasis. The most common obstructed segment is small bowel. Colonic gallstone ileus is much rarer. Older patients with comorbidities are affected more frequently, and also women more o...
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Hrvatski liječnički zbor
2021
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oai:doaj.org-article:39ac79d1fe5f4546b820cac5bf06b3182021-12-03T10:15:58ZGallstone ileus of the sigmoid colon: a case report10.26800/LV-143-5-6-40024-34771849-2177https://doaj.org/article/39ac79d1fe5f4546b820cac5bf06b3182021-06-01T00:00:00Zhttps://lijecnicki-vjesnik.hlz.hr/lijecnicki-vjesnik/gallstone-ileus-sigmoidnog-kolona-prikaz-slucaja/https://doaj.org/toc/0024-3477https://doaj.org/toc/1849-2177Gallstone ileus is a rare form of mechanical bowel obstruction with a biliary calculus due to complicated biliary lithiasis. The most common obstructed segment is small bowel. Colonic gallstone ileus is much rarer. Older patients with comorbidities are affected more frequently, and also women more often than men. Older age and comorbidities increase the mortality rate, additionally if the diagnosis and treatment are delayed. Since gallstone ileus is curable, it is necessary to confirm it with an abdominal CT scan or plain abdominal X-ray. Therapeutic procedures include laparotomy or laparoscopy with cololithotomy and endoscopic lithotripsy. We present a case of a 63-year-old woman who came to the emergency department with colicky abdominal pain and elevated serum inflammatory markers. Obstruction of the sigmoid colon with 4.8 cm calculus is detected with the abdominal CT scan, and it was successfully treated with laparotomy and cololithotomy.Goran AugustinPaula BaturTomislav BruketaHrvatski liječnički zborarticlegallstones – complicationsdiagnostic imagingsurgery; ileus – diagnostic imagingetiologysurgery; intestinal obstruction – diagnostic imagingsurgery; sigmoid diseases – diagnostic imagingsurgery; laparotomy; tomographyMedicine (General)R5-920ENHRLiječnički vjesnik, Vol 143, Iss 5-6, Pp 181-183 (2021) |
institution |
DOAJ |
collection |
DOAJ |
language |
EN HR |
topic |
gallstones – complications diagnostic imaging surgery; ileus – diagnostic imaging etiology surgery; intestinal obstruction – diagnostic imaging surgery; sigmoid diseases – diagnostic imaging surgery; laparotomy; tomography Medicine (General) R5-920 |
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gallstones – complications diagnostic imaging surgery; ileus – diagnostic imaging etiology surgery; intestinal obstruction – diagnostic imaging surgery; sigmoid diseases – diagnostic imaging surgery; laparotomy; tomography Medicine (General) R5-920 Goran Augustin Paula Batur Tomislav Bruketa Gallstone ileus of the sigmoid colon: a case report |
description |
Gallstone ileus is a rare form of mechanical bowel obstruction with a biliary calculus due to complicated biliary lithiasis. The most common obstructed segment is small bowel. Colonic gallstone ileus is much rarer. Older patients with comorbidities are affected more frequently, and also women more often than men. Older age and comorbidities increase the mortality rate, additionally if the diagnosis and treatment are delayed. Since gallstone ileus is curable, it is necessary to confirm it with an abdominal CT scan or plain abdominal X-ray. Therapeutic procedures include laparotomy or laparoscopy with cololithotomy and endoscopic lithotripsy. We present a case of a 63-year-old woman who came to the emergency department with colicky abdominal pain and elevated serum inflammatory markers. Obstruction of the sigmoid colon with 4.8 cm calculus is detected with the abdominal CT scan, and it was successfully treated with laparotomy and cololithotomy. |
format |
article |
author |
Goran Augustin Paula Batur Tomislav Bruketa |
author_facet |
Goran Augustin Paula Batur Tomislav Bruketa |
author_sort |
Goran Augustin |
title |
Gallstone ileus of the sigmoid colon: a case report |
title_short |
Gallstone ileus of the sigmoid colon: a case report |
title_full |
Gallstone ileus of the sigmoid colon: a case report |
title_fullStr |
Gallstone ileus of the sigmoid colon: a case report |
title_full_unstemmed |
Gallstone ileus of the sigmoid colon: a case report |
title_sort |
gallstone ileus of the sigmoid colon: a case report |
publisher |
Hrvatski liječnički zbor |
publishDate |
2021 |
url |
https://doaj.org/article/39ac79d1fe5f4546b820cac5bf06b318 |
work_keys_str_mv |
AT goranaugustin gallstoneileusofthesigmoidcolonacasereport AT paulabatur gallstoneileusofthesigmoidcolonacasereport AT tomislavbruketa gallstoneileusofthesigmoidcolonacasereport |
_version_ |
1718373321172582400 |