2022 Volume 42 Issue 5 Pages 627-631
The patient was a 76-year-old man with a history of pyloric resection for gastric cancer. He visited the hospital with the chief complaint of right lower abdominal pain, and abdominal CT showed ileus of the small intestine. Since a 50-mm-sized gastric stone noted on upper gastrointestinal endoscopy performed one month earlier had not yet been treated, the patient was admitted to the hospital with a diagnosis of ileus caused by a dropped gastrolith. Daily infusion of cola through the ileus tube gradually reduced tube drainage and improved abdominal pain. However, on the fifth day of injection, the patient experienced sudden abdominal pain, and abdominal CT revealed the gastric stone lodged at the distal end of the ileum, which was crushed by a transanally inserted double-balloon endoscope. The day after the crushing, the patient’s abdominal pain completely resolved and the ileus tube was removed. Before discharge, an upper gastrointestinal endoscopy was performed to confirm that the gastric stone was still in the stomach, and endoscopic crushing was performed.
