A case of gallstone ileus displaying spontaneous closure of cholecystoduodenal fistula after enterolithotomy

Abstract INTRODUCTION Gallstone ileus, a rare complication of cholelithiasis and cholecystitis, is a relatively rare cause of alimentary tract obstruction. It is usually associated with a cholecystoenteric fistula through which a gallstone has passed into the gastrointestinal tract. Cholecystoenteri...

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Bibliographic Details
Published in:International journal of surgery case reports 2012-01, Vol.3 (1), p.12-15
Main Authors: Shioi, Yoshihiro, Kawamura, Shuji, Kanno, Kiminori, Nishinari, Yutaka, Ikeda, Kousei, Noro, Akihiro, Kooka, Fumishi
Format: Article
Language:English
Subjects:
Case Report
Cholecystoduodenal fistula
Endoscopy
Enterolithotomy
Gallstone
Ileus
Surgery
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Summary:Abstract INTRODUCTION Gallstone ileus, a rare complication of cholelithiasis and cholecystitis, is a relatively rare cause of alimentary tract obstruction. It is usually associated with a cholecystoenteric fistula through which a gallstone has passed into the gastrointestinal tract. Cholecystoenteric fistula uncommonly closes spontaneously, the period between formation and closure having rarely been reported. In addition, endoscopic detection of cholecystoenteric fistulous closure has seldom been reported. PRESENTATION OF CASE We report a 51-year-old Japanese man with gallstone ileus in whom spontaneous closure of a cholecystoduodenal fistula was observed by endoscopy 2 weeks after laparoscopy-assisted enterolithotomy. DISCUSSION Laparoscopy-assisted enterolithotomy for gallstone ileus allows direct diagnosis of gallstone ileus and assessment of the status of adhesions affecting the biliary tract. CONCLUSION Endoscopic confirmation of fistulous closure after laparoscopy-assisted enterolithotomy is a minimally invasive approach that may avert the need for biliary surgery.
ISSN:2210-2612
2210-2612
DOI:10.1016/j.ijscr.2011.07.012