Gallstone Ileus

Besselink, Marc G. H.; Kroeze, Jan
May 2005
Mayo Clinic Proceedings;May2005, Vol. 80 Issue 5, p699
Academic Journal
The article discusses about a case of gallstone ileus in a 78 year-old patient who was admitted to the hospital with a 14-day history of nausea, vomiting and dehydration. Physical examination revealed no fever or peritonitis. Laboratory studies indicated leukocytosis. Conservative therapy for ileus was initiated. During hospitalization, abdominal pain and peritonitis developed. Exploratory laparotomy revealed 2 large obstructing gallstones (arrows) in the jejunum with adjacent small perforations and fecal contamination of the abdominal cavity. In patients older than 65 years, gallstones cause 25% of all nonstrangulated small bowel obstructions.


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