Gallstone ileus diagnosed during digestive endoscopy: a case report

Abstract Text Gallstone ileus is a rare condition resulting from the migration of a gallstone through a bilio-digestive fistula. We report the case of a 73 y.o man with a history of unoperated vesicular lithiasis. He presented with intense epigastric pain with vomiting and clinical signs of dehydratation. After intra venous rehydratation, an eso-gastro-duodenoscopy (EGD) was performed and found a fistulous orifice in the bulb with a stone emerging through it, suggesting a bilio-digestive fistula. A non-injected CT scan confirmed jejunal obstruction. The patient was referred to the operating room and underwent stone extraction and duodenal suture closure. Outcome was favorable [1] [2] [3].

Video  http://data.process.y-congress.com/ScientificProcess/Data//106/570/1428/63789652-1eeb-4ec2-a5f2-83b04ce7d55f/Uploads/16849_Ileus_biliaire.mov

Publication History

Article published online:
27 March 2025

• References

• 1 Lassandro F, Romano S, Ragozzino A. et al. “Role of Helical CT in Diagnosis of Gallstone Ileus and Related Conditions.”. Am. J. Roentgenol 2005; 185 (no. 5): 1159-1165
• 2 Fedele S, Lobascio P, Carbotta G.. Gallstone ileus in a ninety-two years old colecistectomized patient after endoscopic biliary sphincterotomy: a case report. G Chir 2017; 38 (6): 299-302
• 3 Bär F, Roblick U, Lehnert H.. Gallstone Ileus. Clinical Gastroenterology and Hepatology 2011; 9 (10): A22