Open AccessGallstone ileus in the Jordanian Royal Medical Services in a 10-year period
Author(s) -
Jarbou Sm,
al-Hammouri Fa
Publication year - 2000
Publication title -
eastern mediterranean health journal/eastern mediterranean health journal
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.442
H-Index - 47
eISSN - 1687-1634
pISSN - 1020-3397
DOI - 10.26719/2000.6.5-6.1117
Subject(s) - period (music) , ileus , medicine , general surgery , surgery , art , aesthetics
Six patients [5 women and 1 man, with a median age of 71 years] were operated on for gallstone ileus in the 10-year period 1988-98. The diagnosis was made before operation in 2 patients. The obstructing stones were located in the terminal ileum in 3 patients and in the proximal ileum or jejunum in 3 patients. Choledochoduodenal fistula was present in all patients. A single-stage procedure [removal of the impacted stone, fistula repair and cholecystectomy]was performed in 1 patient, enterolithotomy alone in 4 patients and resection of part of the intestine where the stone was impacted with primary anastomosis performed in 1 patient. In the postoperative period, 2 patients developed infection of the wound and 2 patients developed deep vein thrombosis; 1 of these died of pulmonary embolism.