A Case of Gallstone Ileus with Cholecystoduodenal Fistula Treated by Single Port Laparoscopic Surgery

Abstract

An 83-year-old with no history of abdominal surgery was admitted to our hospital as an emergency outpatient with symptoms of abdominal pain and nausea. Computed tomography revealed a distended intestine and gallstone obstructing of the ileum. There was a missing border between the gallbladder and duodenum, so gallstone ileus with cholecystoduodenal fistula was suspected. Obstruction of the ileum persisted despite three daysʼ conservative treatment with an ileus tube. Single-port laparoscopic enterolithotomy was performed on the fourth day of hospitalization without morbidity. Gallstone ileus is relatively rare among ileus, and it often requires surgical treatment. Single-port laparoscopic surgery can be performed without morbidity even in an elderly patient.