Loading…

Gallstone ileus associated with cholecystogastric fistula: Case report, diagnosis and surgical treatment

Gallstone Ileus is a rare complication of cholelithiasis, associated with multiple episodes of cholecystitis, with the formation of adhesions and fistulas between the gallbladder and adjacent organs. Its diagnosis is difficult, requiring complementary imaging tests such as computed tomography or rad...

Full description

Saved in:
Bibliographic Details
Published in:International journal of surgery case reports 2021-09, Vol.86, p.106328-106328, Article 106328
Main Authors: Rodriguez, Juan Eduardo Rios, Grossi, Ana Elisa de Landa Moraes Teixeira, Siqueira, Victor Ripardo, de Siqueira Filho, Josias Torres, Pereira, Magnum Adriel Santos, da Cunha, Decius Guimarães Carneiro
Format: Article
Language:English
Subjects:
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
cited_by cdi_FETCH-LOGICAL-c366t-611f96a7cc8d2ed61694de0ba748f5c9dff49659f0c474afd133eccb7219ddf23
cites cdi_FETCH-LOGICAL-c366t-611f96a7cc8d2ed61694de0ba748f5c9dff49659f0c474afd133eccb7219ddf23
container_end_page 106328
container_issue
container_start_page 106328
container_title International journal of surgery case reports
container_volume 86
creator Rodriguez, Juan Eduardo Rios
Grossi, Ana Elisa de Landa Moraes Teixeira
Siqueira, Victor Ripardo
de Siqueira Filho, Josias Torres
Pereira, Magnum Adriel Santos
da Cunha, Decius Guimarães Carneiro
description Gallstone Ileus is a rare complication of cholelithiasis, associated with multiple episodes of cholecystitis, with the formation of adhesions and fistulas between the gallbladder and adjacent organs. Its diagnosis is difficult, requiring complementary imaging tests such as computed tomography or radiography. Female patient, with intestinal obstruction for 7 days, associated with abdominal pain and previous episodes of pain in the right hypochondrium for 3 months. Abdominal CT scan identified aerobilia, gallstone impacted in the ileocecal valve and small loop dilatation, in addition to a probable cholecystogastric fistula. Opted for exploratory laparotomy, enterolithotomy and fistula correction in one surgical time. Gallstone ileus is rare among the complications of cholelithiasis, in addition to the fact that cholecystogastric fistula is associated with gastric pylorus obstruction and not impaction on the ileocecal valve. Imaging tests are useful to complement the diagnosis, and if Rigler's triad is present, the suspicion of gallstone ileus is increased. The presence of fistula between the gallbladder and stomach presents a frequency between 0 and 13.3%. There is no gold standard treatment for gallstone ileus, but surgery options for each type of patient and severity level. There is no definitive protocol for optimal surgical treatment for biliary ileus, but the possibility of enterolithotomy associated with cholecystectomy and fistula correction can be evaluated in selected patients. •Gallstone ileus is a rare cause of intestinal obstruction.•Cholecystogastric fistula may be associated with ileum obstruction.•One-step surgical treatment can be used in specific patients
doi_str_mv 10.1016/j.ijscr.2021.106328
format article
fullrecord <record><control><sourceid>proquest_pubme</sourceid><recordid>TN_cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_8387747</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><els_id>S2210261221008300</els_id><sourcerecordid>2564131173</sourcerecordid><originalsourceid>FETCH-LOGICAL-c366t-611f96a7cc8d2ed61694de0ba748f5c9dff49659f0c474afd133eccb7219ddf23</originalsourceid><addsrcrecordid>eNp9UUtvEzEQthAVrdr-Ai4-ciBh_Yh3FwkkFJWCVIkLnC1nPE4cOevg8Rb13-M2FYILc5nRzPeQ5mPsteiWohPm3X4Z9wRlKTsp2sYoObxgF1KKbiGNkC__ms_ZNdG-a9VARspX7FxpLVda6gu2u3UpUc0T8phwJu6IMkRX0fNfse447HJCeGiQraNaIvAQqc7JvedrR8gLHnOpb7mPbjtlik1h8pzmso3gEq8FXT3gVK_YWXCJ8Pq5X7Ifn2--r78s7r7dfl1_uluAMqYujBBhNK4HGLxEb4QZtcdu43o9hBWMPgQ9mtUYOtC9dsELpRBg00sxeh-kumQfT7rHeXNAD826uGSPJR5cebDZRfvvZYo7u833dlBD3-u-Cbx5Fij554xU7SESYEpuwjyTlSujhRKiVw2qTlAomahg-GMjOvsYk93bp5jsY0z2FFNjfTixsL3hPmKxBBEnQB8LQrU-x__yfwOX6Z5s</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2564131173</pqid></control><display><type>article</type><title>Gallstone ileus associated with cholecystogastric fistula: Case report, diagnosis and surgical treatment</title><source>ScienceDirect Journals</source><source>PubMed Central</source><creator>Rodriguez, Juan Eduardo Rios ; Grossi, Ana Elisa de Landa Moraes Teixeira ; Siqueira, Victor Ripardo ; de Siqueira Filho, Josias Torres ; Pereira, Magnum Adriel Santos ; da Cunha, Decius Guimarães Carneiro</creator><creatorcontrib>Rodriguez, Juan Eduardo Rios ; Grossi, Ana Elisa de Landa Moraes Teixeira ; Siqueira, Victor Ripardo ; de Siqueira Filho, Josias Torres ; Pereira, Magnum Adriel Santos ; da Cunha, Decius Guimarães Carneiro</creatorcontrib><description>Gallstone Ileus is a rare complication of cholelithiasis, associated with multiple episodes of cholecystitis, with the formation of adhesions and fistulas between the gallbladder and adjacent organs. Its diagnosis is difficult, requiring complementary imaging tests such as computed tomography or radiography. Female patient, with intestinal obstruction for 7 days, associated with abdominal pain and previous episodes of pain in the right hypochondrium for 3 months. Abdominal CT scan identified aerobilia, gallstone impacted in the ileocecal valve and small loop dilatation, in addition to a probable cholecystogastric fistula. Opted for exploratory laparotomy, enterolithotomy and fistula correction in one surgical time. Gallstone ileus is rare among the complications of cholelithiasis, in addition to the fact that cholecystogastric fistula is associated with gastric pylorus obstruction and not impaction on the ileocecal valve. Imaging tests are useful to complement the diagnosis, and if Rigler's triad is present, the suspicion of gallstone ileus is increased. The presence of fistula between the gallbladder and stomach presents a frequency between 0 and 13.3%. There is no gold standard treatment for gallstone ileus, but surgery options for each type of patient and severity level. There is no definitive protocol for optimal surgical treatment for biliary ileus, but the possibility of enterolithotomy associated with cholecystectomy and fistula correction can be evaluated in selected patients. •Gallstone ileus is a rare cause of intestinal obstruction.•Cholecystogastric fistula may be associated with ileum obstruction.•One-step surgical treatment can be used in specific patients</description><identifier>ISSN: 2210-2612</identifier><identifier>EISSN: 2210-2612</identifier><identifier>DOI: 10.1016/j.ijscr.2021.106328</identifier><identifier>PMID: 34425424</identifier><language>eng</language><publisher>Elsevier Ltd</publisher><subject>Case Report ; Cholecystectomy ; Cholelithiasis ; Gallstones ; General surgery ; Intestinal obstruction</subject><ispartof>International journal of surgery case reports, 2021-09, Vol.86, p.106328-106328, Article 106328</ispartof><rights>2021 The Author(s)</rights><rights>2021 The Author(s) 2021</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c366t-611f96a7cc8d2ed61694de0ba748f5c9dff49659f0c474afd133eccb7219ddf23</citedby><cites>FETCH-LOGICAL-c366t-611f96a7cc8d2ed61694de0ba748f5c9dff49659f0c474afd133eccb7219ddf23</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC8387747/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/S2210261221008300$$EHTML$$P50$$Gelsevier$$Hfree_for_read</linktohtml><link.rule.ids>230,314,723,776,780,881,3535,27903,27904,45759,53769,53771</link.rule.ids></links><search><creatorcontrib>Rodriguez, Juan Eduardo Rios</creatorcontrib><creatorcontrib>Grossi, Ana Elisa de Landa Moraes Teixeira</creatorcontrib><creatorcontrib>Siqueira, Victor Ripardo</creatorcontrib><creatorcontrib>de Siqueira Filho, Josias Torres</creatorcontrib><creatorcontrib>Pereira, Magnum Adriel Santos</creatorcontrib><creatorcontrib>da Cunha, Decius Guimarães Carneiro</creatorcontrib><title>Gallstone ileus associated with cholecystogastric fistula: Case report, diagnosis and surgical treatment</title><title>International journal of surgery case reports</title><description>Gallstone Ileus is a rare complication of cholelithiasis, associated with multiple episodes of cholecystitis, with the formation of adhesions and fistulas between the gallbladder and adjacent organs. Its diagnosis is difficult, requiring complementary imaging tests such as computed tomography or radiography. Female patient, with intestinal obstruction for 7 days, associated with abdominal pain and previous episodes of pain in the right hypochondrium for 3 months. Abdominal CT scan identified aerobilia, gallstone impacted in the ileocecal valve and small loop dilatation, in addition to a probable cholecystogastric fistula. Opted for exploratory laparotomy, enterolithotomy and fistula correction in one surgical time. Gallstone ileus is rare among the complications of cholelithiasis, in addition to the fact that cholecystogastric fistula is associated with gastric pylorus obstruction and not impaction on the ileocecal valve. Imaging tests are useful to complement the diagnosis, and if Rigler's triad is present, the suspicion of gallstone ileus is increased. The presence of fistula between the gallbladder and stomach presents a frequency between 0 and 13.3%. There is no gold standard treatment for gallstone ileus, but surgery options for each type of patient and severity level. There is no definitive protocol for optimal surgical treatment for biliary ileus, but the possibility of enterolithotomy associated with cholecystectomy and fistula correction can be evaluated in selected patients. •Gallstone ileus is a rare cause of intestinal obstruction.•Cholecystogastric fistula may be associated with ileum obstruction.•One-step surgical treatment can be used in specific patients</description><subject>Case Report</subject><subject>Cholecystectomy</subject><subject>Cholelithiasis</subject><subject>Gallstones</subject><subject>General surgery</subject><subject>Intestinal obstruction</subject><issn>2210-2612</issn><issn>2210-2612</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><recordid>eNp9UUtvEzEQthAVrdr-Ai4-ciBh_Yh3FwkkFJWCVIkLnC1nPE4cOevg8Rb13-M2FYILc5nRzPeQ5mPsteiWohPm3X4Z9wRlKTsp2sYoObxgF1KKbiGNkC__ms_ZNdG-a9VARspX7FxpLVda6gu2u3UpUc0T8phwJu6IMkRX0fNfse447HJCeGiQraNaIvAQqc7JvedrR8gLHnOpb7mPbjtlik1h8pzmso3gEq8FXT3gVK_YWXCJ8Pq5X7Ifn2--r78s7r7dfl1_uluAMqYujBBhNK4HGLxEb4QZtcdu43o9hBWMPgQ9mtUYOtC9dsELpRBg00sxeh-kumQfT7rHeXNAD826uGSPJR5cebDZRfvvZYo7u833dlBD3-u-Cbx5Fij554xU7SESYEpuwjyTlSujhRKiVw2qTlAomahg-GMjOvsYk93bp5jsY0z2FFNjfTixsL3hPmKxBBEnQB8LQrU-x__yfwOX6Z5s</recordid><startdate>20210901</startdate><enddate>20210901</enddate><creator>Rodriguez, Juan Eduardo Rios</creator><creator>Grossi, Ana Elisa de Landa Moraes Teixeira</creator><creator>Siqueira, Victor Ripardo</creator><creator>de Siqueira Filho, Josias Torres</creator><creator>Pereira, Magnum Adriel Santos</creator><creator>da Cunha, Decius Guimarães Carneiro</creator><general>Elsevier Ltd</general><general>Elsevier</general><scope>6I.</scope><scope>AAFTH</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20210901</creationdate><title>Gallstone ileus associated with cholecystogastric fistula: Case report, diagnosis and surgical treatment</title><author>Rodriguez, Juan Eduardo Rios ; Grossi, Ana Elisa de Landa Moraes Teixeira ; Siqueira, Victor Ripardo ; de Siqueira Filho, Josias Torres ; Pereira, Magnum Adriel Santos ; da Cunha, Decius Guimarães Carneiro</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c366t-611f96a7cc8d2ed61694de0ba748f5c9dff49659f0c474afd133eccb7219ddf23</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2021</creationdate><topic>Case Report</topic><topic>Cholecystectomy</topic><topic>Cholelithiasis</topic><topic>Gallstones</topic><topic>General surgery</topic><topic>Intestinal obstruction</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Rodriguez, Juan Eduardo Rios</creatorcontrib><creatorcontrib>Grossi, Ana Elisa de Landa Moraes Teixeira</creatorcontrib><creatorcontrib>Siqueira, Victor Ripardo</creatorcontrib><creatorcontrib>de Siqueira Filho, Josias Torres</creatorcontrib><creatorcontrib>Pereira, Magnum Adriel Santos</creatorcontrib><creatorcontrib>da Cunha, Decius Guimarães Carneiro</creatorcontrib><collection>ScienceDirect Open Access Titles</collection><collection>Elsevier:ScienceDirect:Open Access</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>International journal of surgery case reports</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Rodriguez, Juan Eduardo Rios</au><au>Grossi, Ana Elisa de Landa Moraes Teixeira</au><au>Siqueira, Victor Ripardo</au><au>de Siqueira Filho, Josias Torres</au><au>Pereira, Magnum Adriel Santos</au><au>da Cunha, Decius Guimarães Carneiro</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Gallstone ileus associated with cholecystogastric fistula: Case report, diagnosis and surgical treatment</atitle><jtitle>International journal of surgery case reports</jtitle><date>2021-09-01</date><risdate>2021</risdate><volume>86</volume><spage>106328</spage><epage>106328</epage><pages>106328-106328</pages><artnum>106328</artnum><issn>2210-2612</issn><eissn>2210-2612</eissn><abstract>Gallstone Ileus is a rare complication of cholelithiasis, associated with multiple episodes of cholecystitis, with the formation of adhesions and fistulas between the gallbladder and adjacent organs. Its diagnosis is difficult, requiring complementary imaging tests such as computed tomography or radiography. Female patient, with intestinal obstruction for 7 days, associated with abdominal pain and previous episodes of pain in the right hypochondrium for 3 months. Abdominal CT scan identified aerobilia, gallstone impacted in the ileocecal valve and small loop dilatation, in addition to a probable cholecystogastric fistula. Opted for exploratory laparotomy, enterolithotomy and fistula correction in one surgical time. Gallstone ileus is rare among the complications of cholelithiasis, in addition to the fact that cholecystogastric fistula is associated with gastric pylorus obstruction and not impaction on the ileocecal valve. Imaging tests are useful to complement the diagnosis, and if Rigler's triad is present, the suspicion of gallstone ileus is increased. The presence of fistula between the gallbladder and stomach presents a frequency between 0 and 13.3%. There is no gold standard treatment for gallstone ileus, but surgery options for each type of patient and severity level. There is no definitive protocol for optimal surgical treatment for biliary ileus, but the possibility of enterolithotomy associated with cholecystectomy and fistula correction can be evaluated in selected patients. •Gallstone ileus is a rare cause of intestinal obstruction.•Cholecystogastric fistula may be associated with ileum obstruction.•One-step surgical treatment can be used in specific patients</abstract><pub>Elsevier Ltd</pub><pmid>34425424</pmid><doi>10.1016/j.ijscr.2021.106328</doi><tpages>1</tpages><oa>free_for_read</oa></addata></record>
fulltext fulltext
identifier ISSN: 2210-2612
ispartof International journal of surgery case reports, 2021-09, Vol.86, p.106328-106328, Article 106328
issn 2210-2612
2210-2612
language eng
recordid cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_8387747
source ScienceDirect Journals; PubMed Central
subjects Case Report
Cholecystectomy
Cholelithiasis
Gallstones
General surgery
Intestinal obstruction
title Gallstone ileus associated with cholecystogastric fistula: Case report, diagnosis and surgical treatment
url http://sfxeu10.hosted.exlibrisgroup.com/loughborough?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-01-25T23%3A23%3A48IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_pubme&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Gallstone%20ileus%20associated%20with%20cholecystogastric%20fistula:%20Case%20report,%20diagnosis%20and%20surgical%20treatment&rft.jtitle=International%20journal%20of%20surgery%20case%20reports&rft.au=Rodriguez,%20Juan%20Eduardo%20Rios&rft.date=2021-09-01&rft.volume=86&rft.spage=106328&rft.epage=106328&rft.pages=106328-106328&rft.artnum=106328&rft.issn=2210-2612&rft.eissn=2210-2612&rft_id=info:doi/10.1016/j.ijscr.2021.106328&rft_dat=%3Cproquest_pubme%3E2564131173%3C/proquest_pubme%3E%3Cgrp_id%3Ecdi_FETCH-LOGICAL-c366t-611f96a7cc8d2ed61694de0ba748f5c9dff49659f0c474afd133eccb7219ddf23%3C/grp_id%3E%3Coa%3E%3C/oa%3E%3Curl%3E%3C/url%3E&rft_id=info:oai/&rft_pqid=2564131173&rft_id=info:pmid/34425424&rfr_iscdi=true