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East and Central African Journal of Surgery
Association of Surgeons of East Africa and College of Surgeons of East Central and Southern Africa
ISSN: 1024-297X EISSN: 1024-297X
Vol. 21, No. 1, 2016, pp. 156-163
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Bioline Code: js16017
Full paper language: English
Document type: Research Article
Document available free of charge
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East and Central African Journal of Surgery, Vol. 21, No. 1, 2016, pp. 156-163
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Gallstone Ileus: A Rare and Often Disregarded Cause of Intestinal Obstruction: Case Report with Literature Review
Mohammed, Y.
Abstract
Gallstone ileus is very rare complication of cholelithiasis. As it is usually a disease of
the elderly, the morbidity and mortality associated with it is high due to the
presence of co-morbidities. This is additionally made worse by the delay
encountered before reaching diagnosis which often demands a high index of
suspicion. In Ethiopia, a country where intestinal obstruction is seen to be one of the
common presentations in the emergency surgical department, gall stone has never
been seen to be reported as a cause. Thus we present this rare case and discuss the
mode of presentation, diagnostic difficulties and differing treatment options. We
report the case of an 80-year old lady who presented with signs and symptoms of
small intestinal obstruction. Upon exploration we were astonished to find the cause
of the obstruction to be a gallstone which was removed by simple ileostomy. Postoperative
course was uneventful.
Keywords
gallstone ileus; intestinal obstruction; gallstone
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© Copyright 2016 - Journal of Applied Sciences and Environmental Management
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