tailieunhanh - Báo cáo khoa hoc:" Jejunal perforation in gallstone ileus – a case series"

Tuyển tập báo cáo các nghiên cứu khoa học quốc tế ngành y học dành cho các bạn tham khảo đề tài: Jejunal perforation in gallstone ileus – a case series | Journal of Medical Case Reports BioMed Central Case report Jejunal perforation in gallstone ileus - a case series Louise E Browning 1 Jeremy D Taylor2 Sue K Clark3 and Nariman D Karanjia4 Open Access Address Department of Surgery University Hospital Lewisham Lewisham UK 2Department of Radiology St. George s Hospital London UK 3Department of Surgery St Mark s Hospital Harrow UK and 4Department of Surgery Royal Surrey County Hospital Surrey UK Email Louise E Browning - browninglouise@ Jeremy D Taylor - drjeremytaylor@ Sue K Clark - Nariman D Karanjia - Corresponding author Published 28 November 2007 Received 12 August 2007 -. J . r- Accepted 28 November 2007 Journal of Medical Case Reports 2007 I I57 doi l 752-1947-1-157 This article is available from http content 1 1 157 2007 Browning et al 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 an uncommon complication of cholelithiasis but an established cause of mechanical bowel obstruction in the elderly. Perforation of the small intestine proximal to the obstructing gallstone is rare and only a handful of cases have been reported. We present two cases of perforation of the jejunum in gallstone ileus and remarkably in one case the gallstone ileus caused perforation of a jejunal diverticulum and is to the best of our knowledge the first such case to be described. Case presentations Case 1 A 69 year old man presented with two days of vomiting and central abdominal pain. He underwent laparotomy for small bowel obstruction and was found to have a gallstone obstructing the mid-ileum. There was a 2 mm perforation in the .