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Case Reports
. 2023 Oct 17;2023(10):rjad557.
doi: 10.1093/jscr/rjad557. eCollection 2023 Oct.

Distal jejunal gallstone ileus-an unusual cause of bowel obstruction: a case report

Munaser Alamoodi  1
Affiliations
Case Reports

Distal jejunal gallstone ileus-an unusual cause of bowel obstruction: a case report

Munaser Alamoodi. J Surg Case Rep. .

Abstract

Gallstone ileus is a rare entity that causes bowel obstruction by gaining access through a cysto-enteric fistula. This is a case report of a 70-year-old man presenting with small bowel obstruction secondary to distal jejunal gallstone ileus impaction. He is not known to have any predisposing factors. He was managed effectively with an enterolithotomy. Early diagnosis is key to a good prognosis. Although other management options are available, enterolithotomy with or without cholecystectomy remains the gold standard of management.

Keywords: distal jejunum; enterolithotomy; enterotomy; gallstones ileus; small bowel obstruction.

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Figures

Figure 1
Figure 1
Erect film showing air-fluid levels.
Figure 2
Figure 2
Supine film with small bowel dilatation.
Figure 3
Figure 3
CT showing pneumobilia.
Figure 4
Figure 4
CT showing stone in distal jejunum.
Figure 5
Figure 5
Stone in distal jejunum.
Figure 6
Figure 6
retrieved stone in two pieces with proximal dilatation.
See this image and copyright information in PMC

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