IJMDC. 2019; 3(10): 6-9

Gallstone ileus: unusual cause of bowel obstruction. Experience of an African center and literature review

Authors: Mohamed Bouzroud, Aboulfeth el Mehdi, Essarghini Mohamed, Ait Idir Badr, Ait Ali Abdelmounaim, Bounaime Ahmed.

ABSTRACT

Gallstone ileus (GI) is an uncommon cause of bowel obstruction that is associated with high rates of morbidity and mortality. Management of GI remains controversial due to concerns about timing and prioritization of management of coexisting bowel obstruction and cholecystoenteric fistula. This retrospective study reports five cases which were treated in the surgery department for GI in a hospital in Rabat, and a literature review. Of the five patients identified, the average age was 62 years. Length of obstruction prior to operation was 2.8 days. Intraoperatively, the size of the gallstones ranged from 2.5 to 3.8 cm in diameter. Eighty percent patients underwent a simple enterolithotomy and only one had a laparoscopically assisted surgery. Mortality in this series was 20%, and the single patient death was attributed to comorbid conditions. In this series of five patients, GI affected the more elderly population (average age: 62 years) and the diagnosis was established 2 to 3 days after the onset of symptoms. Given the high rates of morbidity and mortality associated with the management of GI, a simple enterolithotomy remains the best solution and one stage procedure should be reserved mainly for younger patients.

Keywords:
Gallstone ileus, biliary enteric fistula, enterolithotomy, one stage procedure, laparoscopic assisted surgery


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Gallstone ileus: unusual cause of bowel obstruction. Experience of an African center and literature review


Authors
Mohamed Bouzroud
Surgery Department I, Military Hospital, Rabat, Morocco.
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Aboulfeth el Mehdi
Surgery Department I, Military Hospital, Rabat, Morocco.
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Essarghini Mohamed
Surgery Department I, Military Hospital, Rabat, Morocco.
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Ait Idir Badr
Surgery Department I, Military Hospital, Rabat, Morocco.
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Ait Ali Abdelmounaim
Surgery Department I, Military Hospital, Rabat, Morocco.
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Bounaime Ahmed
Surgery Department I, Military Hospital, Rabat, Morocco.
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Correspondence to:
. Bouzroud Mohamed, Surgery Department I, Military Hospital, Rabat, Morocco.; dr.bouzroud@gmail.com

Publication history
Received 07 Jun 2019
Accepted 17 Jul 2019
Published online 11 Sep 2019
Published in print 26 Sep 2019

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Pubmed Style

Bouzroud M, Mehdi Ae, Mohamed E, Badr AI, Abdelmounaim AA, Ahmed B. Gallstone ileus: unusual cause of bowel obstruction. Experience of an African center and literature review. IJMDC. 2019; 3(10): 6-9. doi:10.24911/IJMDC.51-1559908102


Web Style

Bouzroud M, Mehdi Ae, Mohamed E, Badr AI, Abdelmounaim AA, Ahmed B. Gallstone ileus: unusual cause of bowel obstruction. Experience of an African center and literature review. http://www.ijmdc.com/?mno=51919 [Access: October 18, 2019]. doi:10.24911/IJMDC.51-1559908102


AMA (American Medical Association) Style

Bouzroud M, Mehdi Ae, Mohamed E, Badr AI, Abdelmounaim AA, Ahmed B. Gallstone ileus: unusual cause of bowel obstruction. Experience of an African center and literature review. IJMDC. 2019; 3(10): 6-9. doi:10.24911/IJMDC.51-1559908102


Vancouver/ICMJE Style

Bouzroud M, Mehdi Ae, Mohamed E, Badr AI, Abdelmounaim AA, Ahmed B. Gallstone ileus: unusual cause of bowel obstruction. Experience of an African center and literature review. IJMDC. (2019), [cited October 18, 2019]; 3(10): 6-9. doi:10.24911/IJMDC.51-1559908102


Harvard Style

Bouzroud, M., Mehdi, . A. e., Mohamed, . E., Badr, . A. I., Abdelmounaim, . A. A. & Ahmed, . B. (2019) Gallstone ileus: unusual cause of bowel obstruction. Experience of an African center and literature review. IJMDC, 3 (10), 6-9. doi:10.24911/IJMDC.51-1559908102


Turabian Style

Bouzroud, Mohamed, Aboulfeth el Mehdi, Essarghini Mohamed, Ait Idir Badr, Ait Ali Abdelmounaim, and Bounaime Ahmed. 2019. Gallstone ileus: unusual cause of bowel obstruction. Experience of an African center and literature review. International Journal of Medicine in Developing Countries, 3 (10), 6-9. doi:10.24911/IJMDC.51-1559908102


Chicago Style

Bouzroud, Mohamed, Aboulfeth el Mehdi, Essarghini Mohamed, Ait Idir Badr, Ait Ali Abdelmounaim, and Bounaime Ahmed. "Gallstone ileus: unusual cause of bowel obstruction. Experience of an African center and literature review." International Journal of Medicine in Developing Countries 3 (2019), 6-9. doi:10.24911/IJMDC.51-1559908102


MLA (The Modern Language Association) Style

Bouzroud, Mohamed, Aboulfeth el Mehdi, Essarghini Mohamed, Ait Idir Badr, Ait Ali Abdelmounaim, and Bounaime Ahmed. "Gallstone ileus: unusual cause of bowel obstruction. Experience of an African center and literature review." International Journal of Medicine in Developing Countries 3.10 (2019), 6-9. Print. doi:10.24911/IJMDC.51-1559908102


APA (American Psychological Association) Style

Bouzroud, M., Mehdi, . A. e., Mohamed, . E., Badr, . A. I., Abdelmounaim, . A. A. & Ahmed, . B. (2019) Gallstone ileus: unusual cause of bowel obstruction. Experience of an African center and literature review. International Journal of Medicine in Developing Countries, 3 (10), 6-9. doi:10.24911/IJMDC.51-1559908102


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