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Gallstone ileus: endoscopic removal of a gallstone obstructing the upper jejunum
Author(s) -
Lübbers H.,
Mahlke R.,
Lankisch P. G.
Publication year - 1999
Publication title -
journal of internal medicine
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 2.625
H-Index - 160
eISSN - 1365-2796
pISSN - 0954-6820
DOI - 10.1046/j.1365-2796.1999.00597.x
Subject(s) - medicine , gallstone ileus , jejunum , clearance , ileus , surgery , gallbladder , fistula , general surgery , urology
. Lübbers H, Mahlke R, Lankisch PG (Department of Internal Medicine, Municipal Clinic, Lüneburg, Germany). Gallstone ileus: endoscopic removal of a gallstone obstructing the upper jejunum (Case Report). J Intern Med 1999; 246: 593–597. In a 91‐year‐old female patient admitted with an ileus, ultrasound and computed tomography demonstrated the obstruction of the upper jejunum by a large gallstone. Due to concurrent diseases the patient was unfit for surgery. An attempt was made to remove the impacted stone endoscopically. After successful mobilization and fragmentation by mechanical lithotripsy the obstruction was cleared away. Since the patient improved considerably after this procedure, the gallbladder and the cholecystoduodenal fistula were left in place.