tailieunhanh - Báo cáo y học: "Gallstone ileus following endoscopic retrograde cholangiopancreatography and sphincterotomy: a case report"

Tuyển tập báo cáo các nghiên cứu khoa học quốc tế ngành y học dành cho các bạn tham khảo đề tài: Gallstone ileus following endoscopic retrograde cholangiopancreatography and sphincterotomy: a case report | Journal of Medical Case Reports BioMed Central Open Access Case report Gallstone ileus following endoscopic retrograde cholangiopancreatography and sphincterotomy a case report Amit Goyal and Anurag Srivastava Address Department of Surgery Wales College of Medicine Cardiff University Cardiff CF14 4XN UK Email Amit Goyal - goyala@ Anurag Srivastava - Corresponding author Published 6 November 2008 Received 27 February 2008 Journal of Medical Case Reports 2008 2 342 doi 1752-1947-2-342 Accepted 6 November 2008 This article is available from http content 2 1 342 2008 Goyal and Srivastava licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License http licenses by which permits unrestricted use distribution and reproduction in any medium provided the original work is properly cited. Abstract Introduction Gallstone ileus is a mechanical obstruction caused by the impaction of one or more gallstones within the lumen of any part of the gastrointestinal tract. Although the disorder is a rare cause of small bowel obstruction 1 to 2 it has been reported to cause up to 25 of cases of non-strangulated small bowel obstruction in patients over 65 years of age. Case presentation We report a case of a 67-year-old woman who presented with gallstone ileus following endoscopic retrograde cholangiopancreatography and sphincterotomy for choledocholithiasis. She had a history of terminal ileum resection with ileocolic anastomosis for Crohn s disease. A 3 cm gallstone was found to be impacted just proximal to the previous ileocolic anastomosis. A second gallstone was found on digital examination of the proximal small bowel. Conclusion A gallstone may enter the gastrointestinal tract following endoscopic retrograde cholangiopancreatography and sphincterotomy and impact proximal to an anastomotic stricture as demonstrated .