Recurrent Gallstone Ileus Successfully Treated with Conservative Therapy
| العنوان: | Recurrent Gallstone Ileus Successfully Treated with Conservative Therapy |
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| المؤلفون: | Hiroshi Yoshida, Manabu Watanabe, Eiji Uchida, Hideyuki Takata, E. Uchida, Atsushi Hirakata |
| المصدر: | Journal of Nippon Medical School. 82:300-303 |
| بيانات النشر: | Medical Association of Nippon Medical School, 2015. |
| سنة النشر: | 2015 |
| مصطلحات موضوعية: | medicine.medical_specialty, Abdominal pain, Vomiting, Lumen (anatomy), Gallstones, Gallbladder Stone, Ileus, Recurrence, Gallstone ileus, medicine, Humans, Aged, 80 and over, business.industry, Gallbladder, General Medicine, medicine.disease, digestive system diseases, Abdominal Pain, Surgery, Treatment Outcome, medicine.anatomical_structure, Cholecystitis, Drainage, Female, medicine.symptom, Tomography, X-Ray Computed, Complication, business |
| الوصف: | Gallstone ileus is a rare complication of cholecystolithiasis, with the majority of cases requiring surgical treatment. In this paper, we describe a case of gallstone ileus that was successfully treated twice with conservative therapy. An 85-year-old woman was admitted to our hospital because of abdominal pain and vomiting. She had previously been treated with antibiotics for cholecystitis arising from 2 gallbladder stones. Computed tomography (CT) revealed that the small bowel was dilated and that 1 of the gallbladder stones had disappeared. In addition, a 28×22-mm calcified mass was found in the small-bowel lumen. We diagnosed gallstone ileus and performed nasogastric drainage for decompression. Follow-up CT revealed migration of the impacted stone, and symptoms had improved. However, 2 months after discharge, the patient's symptoms recurred. A CT scan revealed that the small bowel was again dilated and that the remaining gallstone had disappeared from the gallbladder. A 28×25-mm calcified mass was found in the small-bowel lumen. We diagnosed recurrent gallstone ileus. Because the gallstone was almost the same size as the previous one, we selected the same conservative decompression treatment. Fourteen days after the patient was admitted, the stone was evacuated with the feces. Although many cases of gallstone ileus require surgical treatment, spontaneous passage was achieved in this case. When treatment is chosen for gallstone ileus, the patient's presentation and clinical course must be considered. |
| تدمد: | 1347-3409 1345-4676 |
| الوصول الحر: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::24043d7f0a6317e99c6c91776f301049Test https://doi.org/10.1272/jnms.82.300Test |
| حقوق: | OPEN |
| رقم الانضمام: | edsair.doi.dedup.....24043d7f0a6317e99c6c91776f301049 |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 13473409 13454676 |
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