Open AccessLaparoscopic two-stage procedure for gallstone ileus
Author(s) -
Koichi Inukai,
Eri Tsuji,
Nobuhiro Takashima,
Masakazu Yamamoto
Publication year - 2019
Publication title -
journal of minimal access surgery
Language(s) - Uncategorized
Resource type - Journals
eISSN - 0972-9941
pISSN - 1998-3921
DOI - 10.4103/jmas.jmas_88_18
Subject(s) - medicine , gallstone ileus , surgery , ileus , stage (stratigraphy) , fistula , laparoscopic surgery , general surgery , vomiting , bowel obstruction , laparoscopic cholecystectomy , cholecystectomy , biliary fistula , laparoscopy , paleontology , biology
Gallstone is a rare cause of bowel obstruction and is associated with high rates of morbidity and mortality. Here, we report a case of gallstone ileus treated by laparoscopic two-stage procedure. A 65-year-old man, without a history of any surgery, presented to our hospital with abdominal pain and vomiting. His abdominal computed tomography revealed gallstone ileus with cholecystoduodenal fistula. Then, enterolithotomy was performed as an emergency laparoscopic surgery. After 1 year of the surgery, a second laparoscopic procedure was performed for cholecystectomy and fistula closure. The patient was discharged on the 7 th postoperative day. Laparoscopic two-stage procedure is a safe and an efficient approach for the management of gallstone ileus. This definitive treatment is minimally invasive, thereby suitable for treating elderly patients.