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CC BY-NC-ND 4.0 · Ibnosina Journal of Medicine and Biomedical Sciences 2011; 03(06): 218-222
DOI: 10.4103/1947-489X.210899
Case Report

Spontaneous relief of mechanical bowel obstruction in gallstone ileus

Abdallah Glessa
Department of General Surgery, Aljala University Hospital, Gar Younis University, Benghazi, Libya
,
Salah Mansor
Department of General Surgery, Aljala University Hospital, Gar Younis University, Benghazi, Libya
,
Khaled Elgazwi
Department of General Surgery, Aljala University Hospital, Gar Younis University, Benghazi, Libya
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We report the case of a 60-year-old female Libyan patient who presented with a three day history of vomiting, colicky abdominal pain, and constipation. She was dehydrated, tachycardiac, with a distended, tender abdomen and exaggerated bowel sounds. She had leucocytosis and an increased blood urea nitrogen level. Plain abdominal x-ray films showed dilated small bowel loops and pneumobilia. Ultrasound and computed tomography (CT) examinations confirmed the diagnosis of gallstone ileus. The obstruction was spontaneously relieved by passing the stone into the cecum.

Key-words:

Gallstone ileus - intestinal obstruction - pneumonia


Publication History

Received: 30 December 2010

Accepted: 10 August 2011

Article published online:
23 May 2022

© 2011. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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