Three Cases of Gallstone Ileus

Abstract

We encountered three cases of gallstone ileus. All the patients came to our hospital with the complaints of abdominal pain and vomiting. Case 1: A 78-year-old man visited another hospital with abdominal symptoms. Abdominal CT revealed intestinal ileus caused by a gallstone and the patient was transferred to our hospital. We performed enterolithotomy alone for this patient. Case 2: A 69-year-old man visited our emergency room with the complaints of abdominal pain and vomiting and was found to have a cholecysto-duodenal fistula. CT revealed evidence of gallstone ileus. We treated this patient by enterolithotomy. After discharge, a careful examination on an outpatient basis revealed that the patient had a gallbladder carcinoma. Case 3: A 57-year-old woman complaining of vomiting and intermittent abdominal pain was referred to our hospital. CT revealed gallstone ileus, with one gallstone in the ileum and another in the gallbladder. We removed the gallstone in the ileum alone by laparotomy. On the 6th post admission day, the patient developed a recurrent gallstone ileus, and we undertook the same operation again.