Abstract
Gallstone ileus is an uncommon cause of small bowel obstruction. We present a case of small intestinal obstruction owing to a large gallstone in lower ileum in a 65 years old man. The diagnosis was made by computed tomography.
Highlights
Gallstone ileus is an uncommon condition that may result when a gallbladder stone enters into the intestinal tract, usually as a result of an internal fistula between the gallbladder and the duodenum
We reported a case of a 65 years old man, who present with signs of small bowel obstruction, owing to a large gallstone in lower ileum
Gallstone ileus is an uncommon cause of small bowel obstruction [1,2,3,4,5,6]
Summary
Gallstone ileus is an uncommon condition that may result when a gallbladder stone enters into the intestinal tract, usually as a result of an internal fistula between the gallbladder and the duodenum. We reported a case of a 65 years old man, who present with signs of small bowel obstruction, owing to a large gallstone in lower ileum. The patient was not using any specific medication and his medical history did not suggest a major disease He had no prior history of abdominal surgery or trauma. An abdominal X-ray showed small bowel air-fluid levels (fig 1). Beside abdominal ultrasonography was performed demonstrating an enlarged loops of small bowel, and scleroatrophique gallbladder with gallstone. An abdominal tomography showed distended small bowel loops secondary to a laminated calcified mass in the lower ileum that suggested a gallstone ileus (fig 2). The peritoneal cavity was filled with 300 cc of free serosal fluid, while numerous dilated loops of small bowel.
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