A case of jejunal perforation in gallstone ileus |
| |
Authors: | Akiko Taira Masami Yamada Yasunori Takehira Fujito Kageyama Shigeto Yoshii Gou Murohisa Kenichi Yoshida Yasushi Iwaoka Tomohiro Terai Takahiro Uotani Shinya Watanabe Hidenao Noritake Yoshito Ikematu Toshikazu Kanai |
| |
Institution: | Department of Gastroenterology, Hamamatsu Medical Center. |
| |
Abstract: | Gallstone ileus is a rare but important cause of small bowel obstruction in the geriatric population. A 65-year-old man with a twenty year history of cholecystolithiasis was admitted to our hospital with abdominal pain and vomiting. Physical exams showed abdominal defence and rebound tenderness. A plain abdominal X-ray suggested a small bowel obstruction and pneumobilia. CT scan revealed a 2.5-cm gallstone at the jejunum and air in the biliary tree. The patient underwent a emergency laparotomy based on a diagnosis of panperitonitis with a perforation associated with gallstone ileus. Operative findings revealed a jejunal perforation and a impacted stone on the anal side of perforation. Enterolithotomy and jejunal resection were performed with cholecystectomy and repairment of the cholecystoduodenal fistula. |
| |
Keywords: | |
|