An intriguing case of gallstone ileus after hepaticojejunostomy caused by a "stone on a suture"

Gallstone ileus (GI) is a mechanical obstruction of small or large bowel caused by gallstone passed to the intestinal lumen through spontaneous or postoperative biliodigestive fistula. A 42-year-old female patient was admitted with the clinical presentation of small bowel obstruction. She underwent...

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Bibliographic Details
Published in:Journal of research in medical sciences 2016-01, Vol.21 (1), p.80-80
Main Authors: Gachabayov, Mahir, Mityushin, Petr
Format: Article
Language:English
Subjects:
Bouveret′s syndrome
Care and treatment
Case Report
Complications and side effects
Development and progression
enterolithotomy
gallstone ileus
hepaticojejunostomy
Intestinal obstruction
Jejunostomy
small bowel obstruction
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Summary:Gallstone ileus (GI) is a mechanical obstruction of small or large bowel caused by gallstone passed to the intestinal lumen through spontaneous or postoperative biliodigestive fistula. A 42-year-old female patient was admitted with the clinical presentation of small bowel obstruction. She underwent hepaticojejunostomy 4 years prior to admission for primary sclerosing cholangitis. Barium meal follows through revealed Rigler′s triad. The patient underwent laparotomy which revealed GI. A "stone on a suture" was removed through enterotomy. Patients after cholecystectomy and hepaticojejunostomy can develop GI. Nonabsorbable suture used to create biliodigestive anastomosis can appear to become the frame of a "stone on a suture."
ISSN:1735-1995
1735-1995
1735-7136
DOI:10.4103/1735-1995.189697