Abstract
We report two cases of gallstone ileus which were diagnosed correctly and in which a one stage repair was able to be performed after improvement of the general medical condition of the patients. In case 1, the patient was a 79-year-old woman with the chief complaint of vomiting. Upper gastrointestinal endoscopy revealed two stones in the duodenal bulb, and abdominal CT revealed calcified features within the small intestine which was markedly dilatated, and gas within the gallbladder. In case 2, the patient was a 69-year-old woman with the chief complaint of abdominal pain. Abdominal CT revealed ring calcification within the small intestine which was markedly dilatated, and gas within the gallbladder. Long tube examination revealed detected features which were thought to be gallstone within the lower small intestine. Based on these findings, both cases were diagnosed as gallstone ileus. After treating the patients' dehydration and renal dysfunction, we assessed their general medical conditions with the POSSUM score. After POSSUM score had improved, we performed a one stage repair in both cases.
