Gallstone ileus with evident forchet sign:case report

International Journal of Surgery Case Reports
Nazmi Özer

Abstract

Gallstone ileus (GSİ) is a rare complication of cholelithiasis (gallbladderstone), which may lead to obstruction of the small intestine. Particularly, computerized tomographic (CT) imaging method and special findings in these images help diagnosing of gallstone ileus. Treatment of this disease is surgery, surgery involves cholecystectomy + fistula repair + enterolitotomy, but it is controversial to perform cholecystectomy with enterolitotomy and fistula repair in the same session. A 75-year-old male patient consulted to the emergency department with the complaints of nausea and vomiting. In the examinations of the patient, bilienteric fistula and gallstones that impacted in the jejunum leading to obstruction were observed in abdominal CT images of the patient who has ileus. The patient was evaluated as gallstone ileus. In addition, on tomographic images significant Forchet sign and Rigler's triad images were viewed which were pathognomonic for gallstone ileus and did not have images as clear as in our case in the literature search. Laparotomy was performed on the patient due to the fact that he was elderly and the duration of anesthesia was wanted to be kept short and stone was extracted by enterolitotomy. Cholecystectomy and f...Continue Reading

References

Sep 19, 2008·Digestive and Liver Disease : Official Journal of the Italian Society of Gastroenterology and the Italian Association for the Study of the Liver·G D De PalmaG Benassai
Jun 16, 2015·International Journal of Surgery Case Reports·César Felipe Ploneda-ValenciaCarlos René López-Lizárraga
Aug 28, 2015·Singapore Medical Journal·Ashish ChawlaJagadish Narayana Shenoy
Jan 30, 2016·Journal of Nippon Medical School = Nippon Ika Daigaku Zasshi·Hideyuki TakataEiji Uchida
Feb 5, 2016·World Journal of Gastrointestinal Surgery·Carlos M Nuño-GuzmánJorge L Corona
Oct 21, 2018·International Journal of Surgery·Riaz A AghaUNKNOWN SCARE Group

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