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Abstract
ABSTRACT Gallstone ileus (GI) is a rare condition characterized by nonspecific clinical symptoms and signs, often leading to delayed diagnosis and treatment. We describe the case of a 71-year-old female patient with a ten-year history of gallstones who was admitted to the hospital with symptoms of cholecystitis. The patient was scheduled to undergo laparoscopic cholecystectomy several days after initiating antibiotic therapy. On the fifth day of treatment, she suddenly experienced severe abdominal pain accompanied by vomiting. The patient exhibited stable vital signs and mild abdominal distension. Abdominal radiography revealed air-fluid levels and a radiopaque mass in the left abdomen. A CT scan indicated bowel obstruction due to an intraluminal mass approximately 3 cm in size, suspected to be a gallstone. The patient was successfully treated with enterolithotomy via laparotomy. Postoperative esophagogastroduodenoscopy revealed a fistula extending from the second to the third portion of the duodenum to the gallbladder. Medical literature emphasizes the importance of the history of gallstones and the role of computed tomography in diagnosing GI. Additionally, enterolithotomy alone is considered a safe and effective management strategy for GI.
Published Version
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