Gallstone Ileus Post-cholecystectomy

Abstract

Gallstone ileus is a rather rare condition and in most cases it involves a cholecysto-enteric fistula, through which a gallstone passes into the bowel. If the gallstone is large enough it may obstruct the bowel and a gallstone ileus emerges. In the presented case, the patient was subjected to a cholecystectomy over 40 years ago, but despite this, he developed a gallstone ileus. A gallstone that obstructed the small bowel was suspected with computed tomography and confirmed with exploratory laparotomy. Although a few cases of gallstone ileus after cholecystectomy are described in the literature, our case describes a unique pathogenic mechanism.

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Notes on contributors

C. Mansson

C. Mansson Uppsala University Akademiska Sjukhuset 75185 Uppsala, Sweden Tel.: [phone], Fax: [phone] E-mail: [email protected]