Journal of Current Surgery, ISSN 1927-1298 print, 1927-1301 online, Open Access
Article copyright, the authors; Journal compilation copyright, J Curr Surg and Elmer Press Inc
Journal website http://www.currentsurgery.org

Original Article

Volume 2, Number 3, June 2012, pages 84-88

Gallstone Ileus: Diagnostic and Surgical Dilemma

Figures

Figure 1.
Figure 1. Abdominal tomography shows ectopic stone in the ileum.
Figure 2.
Figure 2. Tomographic image of the Rigler’s triad.
Figure 3.
Figure 3. Enterotomy and extraction of the stone.
Figure 4.
Figure 4. Gallstone extracted from the ileum.

Table

Table 1. Details of the Patients
 
PatientSexAgeConcomitant medical conditionsHistory of cholelithiasysASA ScoreRadiological findingsPreoperative diagnosisSite of stone impaction/diame-ter/Surgical treat-ment/duration of surgeryPostoperative Course/hospital stay (days)
S.O.F86Diabetes mellitus; Arterial hypertension-4Pneumobilia +
Air-fluid level +
Detection of stone +		Gallstone ileusJejunum / 4 cm / enterolithotomy / 30 minHeart failure / Death on the 14th post-op
G.S.F84Diabetes mellitus; Arterial hypertension+3Pneumobilia +
Air-fluid level +
Detection of stone -		Intestinal obstructionJejunum / ? / Enterolithotomy / 45 minUneventful / 9 days
F.M.F75Atrial fibrillation+3Pneumobilia -
Air-fluid level +
Detection of stone -		Intestinal obstructionJejunum / 4 cm / enterolithotomy cholecystectomy fistula closure / 85 minUneventful / 8 days
R.D.F82-+2Pneumobilia +
Air-fluid level +
Detection of stone +		Gallstone ileusIleum / 5 cm / enterolithotomy / 30 minUneventful / 11 days