Open AccessGallstone ileus with spontaneous evacuation: A case report
Author(s) -
Takahashi Koji,
Kashimura Hiroshi,
Konno Naoaki,
Nakagawa Miyuki,
Kawahara Yuki,
Munakata Akari,
Okawara Ken,
Aoki Yohei,
Nihei Takeshi
Publication year - 2018
Publication title -
journal of general and family medicine
Language(s) - English
Resource type - Journals
ISSN - 2189-7948
DOI - 10.1002/jgf2.196
Subject(s) - medicine , enterotomy , gallstone ileus , ileus , duodenal bulb , computed tomography , abdominal pain , surgery , fistula , general surgery , radiology , duodenum , laparotomy
A 65‐year‐old man was referred to our hospital for abdominal pain. He had a history of enterotomy with stone extraction for gallstone ileus. On abdominal computed tomography, a stone measuring 32 × 28 mm lodged in the jejunum was identified. He was diagnosed with gallstone ileus and treated using a nasal ileus tube. Four days after admission, computed tomography showed that the stone had passed into the rectum. The gallstone was spontaneously evacuated on the same day. A fistula with the gallbladder was found in the duodenal bulb. The patient's condition improved, and he was discharged 9 days after admission.