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Case Report

Gallstone Ileus: Dilemma in the Management

by
Girish D. Bakhshi
*,
Rajesh G. Chincholkar
,
Jasmine R. Agarwal
,
Madhukar R. Gupta
,
Prachiti S. Gokhe
and
Amogh R. Nadkarni
Department of General Surgery, Grant Government Medical College & Sir JJ Group of Hospitals, Mumbai, India
*
Author to whom correspondence should be addressed.
Clin. Pract. 2017, 7(3), 977; https://doi.org/10.4081/cp.2017.977
Submission received: 3 May 2017 / Revised: 14 July 2017 / Accepted: 19 July 2017 / Published: 1 August 2017

Abstract

Gallstone ileus is a mechanical intestinal obstruction caused due to impaction of a large gallstone within the bowel. The ideal treatment of gallstone ileus remains controversial, with the main dilemma being between a one-stage and a two-stage surgical procedure. A 69-year old male patient presented with gallstone ileus. A one-stage procedure with enterolithotomy and primary closure of duodenal fistula was done. His immediate postoperative recovery was uneventful, but after 3 weeks of surgery, he developed respiratory complications and expired of multi-organ failure. In gallstone ileus, patient presents with symptoms of intestinal obstruction. Enterolithotomy alone remains the most common operative method, but the definitive surgical management is still under research. An intraoperative dilemma between a one-stage or twostage surgery is difficult to resolve in absence of clear guidelines. Hence, more studies are required to come to a consensus in deciding its definitive management.
Keywords: gallstone; obstruction; ileus; surgery gallstone; obstruction; ileus; surgery

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MDPI and ACS Style

Bakhshi, G.D.; Chincholkar, R.G.; Agarwal, J.R.; Gupta, M.R.; Gokhe, P.S.; Nadkarni, A.R. Gallstone Ileus: Dilemma in the Management. Clin. Pract. 2017, 7, 977. https://doi.org/10.4081/cp.2017.977

AMA Style

Bakhshi GD, Chincholkar RG, Agarwal JR, Gupta MR, Gokhe PS, Nadkarni AR. Gallstone Ileus: Dilemma in the Management. Clinics and Practice. 2017; 7(3):977. https://doi.org/10.4081/cp.2017.977

Chicago/Turabian Style

Bakhshi, Girish D., Rajesh G. Chincholkar, Jasmine R. Agarwal, Madhukar R. Gupta, Prachiti S. Gokhe, and Amogh R. Nadkarni. 2017. "Gallstone Ileus: Dilemma in the Management" Clinics and Practice 7, no. 3: 977. https://doi.org/10.4081/cp.2017.977

APA Style

Bakhshi, G. D., Chincholkar, R. G., Agarwal, J. R., Gupta, M. R., Gokhe, P. S., & Nadkarni, A. R. (2017). Gallstone Ileus: Dilemma in the Management. Clinics and Practice, 7(3), 977. https://doi.org/10.4081/cp.2017.977

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