Abstract
Materials and methods Two female elderly patients (83 and 87 years old) recently came to our attention for a mechanical bowel obstruction. Their routine blood investigation revealed only high urea, creatinine and phosphates. Ultrasonography showed scleroatrophic lithiasic cholecistytis. The abdominal X-ray didn't show any sign of Rigler's triad, except for small bowel obstruction. Laparotomy displayed scleroatrophic lithiasic gallbladder firmly adherent to the second portion of duodenum with intense surrounding inflammation due to cholecystoduodenal fistula. Also a gallstone, measuring approximately 3 × 2 cm (case 1) and 6 × 5 cm (case 2), was found impacting the ileum. The surgical strategy, chosen according to the clinical status of these patients (ASA3) and the difficult identification of Calot's triangle, consisted in performing an enterolithotomy and cholecystostomy through a Petzer catheter, after removing multiple gallstones and biliary sludge.
Highlights
XI Annual Meeting of The Italian Society of Geriatric Surgery Francesco Sciannameo, Giammario Giustozzi and Beatrice Sensi Publication of this supplement was made possible with support from the Fondazione Cassa di Risparmio di Terni e Narni Meeting abstracts – A single PDF containing all abstracts in this Supplement is available here. http://www.biomedcentral.com/content/pdf/1471-2318-9-S1
Gallstone ileus is a rare but potentially serious complication of cholelithiasis, prevailing in female elderly patients in whom it represent the third cause of mechanical bowel obstruction
We report two cases of gallstone ileus and review of the literature
Summary
Pamela Del Monaco*, Carla Migliaccio, Francesco La Mura, Eriberto Farinella, Lorenzo Cattorini, Roberto Cirocchi, Valerio Mecarelli, Giammario Giustozzi and Francesco Sciannameo. Address: Department of General and Emergency Surgery, S. Maria Hospital, Terni – University of Perugia, Italy * Corresponding author from XXI Annual Meeting of The Italian Society of Geriatric Surgery Terni, Italy. Published: 1 April 2009 BMC Geriatrics 2009, 9(Suppl 1):A32 doi:10.1186/1471-2318-9-S1-A32. XI Annual Meeting of The Italian Society of Geriatric Surgery Francesco Sciannameo, Giammario Giustozzi and Beatrice Sensi Publication of this supplement was made possible with support from the Fondazione Cassa di Risparmio di Terni e Narni Meeting abstracts – A single PDF containing all abstracts in this Supplement is available here. http://www.biomedcentral.com/content/pdf/1471-2318-9-S1-
Sign-in/Register to view highlights & summary Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a callDisclaimer: All third-party content on this website/platform is and will remain the property of their respective owners and is provided on "as is" basis without any warranties, express or implied. Use of third-party content does not indicate any affiliation, sponsorship with or endorsement by them. Any references to third-party content is to identify the corresponding services and shall be considered fair use under The CopyrightLaw.
