Gallstone ileus as an unexpected complication of cholelithiasis: diagnostic difficulties and treatment

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dc.contributor.authorYakan, Savas
dc.contributor.authorEngin, Oemer
dc.contributor.authorTekeli, Tahsin
dc.contributor.authorCalik, Buelent
dc.contributor.authorDenecli, Ali Galip
dc.contributor.authorCoker, Ahmet
dc.contributor.authorHarman, Mustafa
dc.date.accessioned2019-10-27T21:16:50Z
dc.date.available2019-10-27T21:16:50Z
dc.date.issued2010
dc.departmentEge Üniversitesien_US
dc.description.abstractBACKGROUND Gallstone ileus is a rare complication of cholelithiasis, mostly in the elderly. The aim of this study was to evaluate our experience with 12 gallstone ileus cases and discuss current opinion as reported in the literature. METHODS Data of 12 patients operated between January 1998 and January 2008 with gallstone ileus were retrospectively studied. RESULTS There were 12 cases (9 F, 75%; 3 M, 25%) with a mean age of 63.6 (50-80) years. Median duration of symptoms before admission to the hospital was 4.1 (1-15) days. Preoperative diagnosis was made in only five cases (41.6%). Enterolithotomy was done in nine cases (75%). Enterolithotomy and resection of the small intestine - required for decubital necrosis from the gallstone - was performed in one case (8.3%). In one case (8.3%), enterolithotomy was completed in one stage with cholecystectomy and closure of the fistula during acute surgery, and in another case (8.3%), enterolithotomy + primary suturing of the jejunal perforation was performed. There were two (16.6%) perioperative mortalities. CONCLUSION Gallstone ileus remains a diagnostic challenge despite advances in imaging techniques, and pre-operative diagnosis is often delayed. Gallstone ileus should be suspected in all cases admitted to the emergency service with acute intestinal obstruction with a history of cholelithiasis, especially in the elderly and females.en_US
dc.identifier.endpage348en_US
dc.identifier.issn1306-696X
dc.identifier.issue4en_US
dc.identifier.pmid20849052en_US
dc.identifier.startpage344en_US
dc.identifier.urihttps://hdl.handle.net/11454/43730
dc.identifier.volume16en_US
dc.identifier.wosWOS:000280763500011en_US
dc.identifier.wosqualityQ4en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherTurkish Assoc Trauma Emergency Surgeryen_US
dc.relation.ispartofUlusal Travma Ve Acil Cerrahi Dergisi-Turkish Journal of Trauma & Emergency Surgeryen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectGallstoneen_US
dc.subjectdiagnosisen_US
dc.subjectileusen_US
dc.subjecttreatmenten_US
dc.titleGallstone ileus as an unexpected complication of cholelithiasis: diagnostic difficulties and treatmenten_US
dc.typeArticleen_US

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