Journal of Medical Society

CASE REPORT
Year
: 2020  |  Volume : 34  |  Issue : 2  |  Page : 111--114

Gallstone ileus: Rare life-threatening disease


Pranjal Kumar Dhekiyal Phukan, Anup Kumar Roy 
 Department of Surgery, Down Town Hospital, Guwahati, Assam, India

Correspondence Address:
Anup Kumar Roy
Department of Surgery, Down Town Hospital, Dispur, Guwahati - 781 006, Assam
India

Gallstone ileus is an uncommon complication of calculus cholecystitis and often presents as a life-threatening emergency. It is more common in the elderly and especially among females. It is a rare cause of intestinal obstruction and accounting for 1%–4% of cases. Patients present with symptoms of intestinal obstruction such as abdominal pain, vomiting, and abdominal distension. Diagnosis can be confirmed by computerized tomography (CT) of the abdomen. Enterolithotomy is the most accepted treatment of choice. We report a case of 55-year-old female who presented with epigastric pain for 8 days duration with multiple episodes of vomiting and progressive abdominal distension. Classical Rigler's triad was observed. CT of the abdomen was suggestive of a gallstone obstructing the small bowel. Enterolithotomy with primary bowel repair was done. A large gallstone of size 5 cm × 3 cm was extracted from the terminal ileum. Postoperative period was uneventful. This case is being reported to highlight the rare incidence of gallstone ileus and its life-threatening surgical emergency, particularly large gallstone causing obstruction, and impending bowel gangrene.


How to cite this article:
Dhekiyal Phukan PK, Roy AK. Gallstone ileus: Rare life-threatening disease.J Med Soc 2020;34:111-114


How to cite this URL:
Dhekiyal Phukan PK, Roy AK. Gallstone ileus: Rare life-threatening disease. J Med Soc [serial online] 2020 [cited 2021 Apr 12 ];34:111-114
Available from: https://www.jmedsoc.org/article.asp?issn=0972-4958;year=2020;volume=34;issue=2;spage=111;epage=114;aulast=Dhekiyal;type=0