Gallstone Ileus. A Case Report and Review of the Literature

Traian Curca, Vladimir Beldiman, Cristian Mesina, Radu Nemes, Marian Munteanu, Toma Paraliov, Marian Pasalega, Nadia Dinca, Mihaela Cheie, Luminita Talpos

2nd Surgical Clinic, University of Medicine, Craiova

Abstract

One thousand one hundred eighteen patients with gallstone disease were admitted and treated in our department over the last 10 years. Four patients (0.35%) had internal biliary fistulae (cholecystoduodenal 3 cases and cholecysto-colonic 1 case), in one of them complicated with gallstone ileus, which permitted us to make some pathogenetic, clinical and therapeutic considerations about this rare complication in gallstone disease. The rarity of the lesion, the difficulties of the clinical diagnosis, the value of different imaging studies and the main problems of the surgical treatment are emphasized.

Key words

Gallstone ileus - cholecystoduodenal fistula - entero-lithotomy