Gall stone ileus with cholecystoduodenal fistula

Bharat Jani; SB Sahu; SP Tripathi; R Shankaran

doi:10.4103/0975-3605.202981

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CASE REPORT

Year : 2016 | Volume : 18 | Issue : 1 | Page : 48-50

Gall stone ileus with cholecystoduodenal fistula

Bharat Jani¹, SB Sahu², SP Tripathi³, R Shankaran⁴
¹ Graded Specialist (Surgery), 167 MH, Pathankot 901215, Dept of Surgery, AFMC Pune 411040, India
² Classified Specialist (Surgery), 167 MH, Pathankot 901215, Dept of Surgery, AFMC Pune 411040, India
³ Graded Specialist(Surgery), 167 MH, Pathankot 901215, Dept of Surgery, AFMC Pune 411040, India
⁴ Assoc Prof (Surg&Oncosurg), Dept of Surgery, AFMC Pune 411040, India

Correspondence Address:
Bharat Jani
Graded Specialist (Surgery), 167 MH, Pathankot 901215, Dept of Surgery, AFMC Pune 411040
India

Source of Support: None, Conflict of Interest: None

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DOI: 10.4103/0975-3605.202981

We herein report a case of small bowel obstruction and ileus secondary to impaction of Gall stone at terminal ileum. It is one of the rare complications of cholelithiasis usually presents in a patient with long standing disease. She presented with features of small bowel obstruction and distention of abdomen. The management dilemma was between simple enterotomy to relieve obstruction and repair of cholecystoduodenal fistula in addition. Doing only enterotomy, has a good prognosis but has chances of recurrence but, repair of fistula in addition to enterotomy in same setting have variable results in terms of morbidity.

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