GALLSTONE ILEUS WITH CHOLECYSTO-DUODENAL FISTULA IN AN ELDERLY MALE

Authors

  • Said Umer National Hospital & Medical Centre, Lahore, Pakistan
  • Usman Ismat Butt National Hospital & Medical Centre, Lahore, Pakistan
  • Asad Ali Toor Cork University Hospital, Wilton, County Cork, Republic of Ireland
  • Zeeshan Razzaq Cork University Hospital, County Cork, Republic of Ireland
  • Muhammad Waris Farooka National Hospital & Medical Centre, Lahore, Pakistan
  • Shazia Noreen Cork University Hospital, Wilton, County Cork, Republic of Ireland
  • Abeeda Butt Cork University Hospital, Wilton, County Cork, Republic of Ireland
  • Henry Paul Redmond Cork University Hospital, Wilton, County Cork, Republic of Ireland

Abstract

Gall stone ileus associated with cholecysto-duodenal fistula is a rare pathology. It most commonly presents in elderly females in 72–90% of cases. In such a case, a patient typically presents with recurrent attacks of sub-acute intestinal obstruction which usually resolves completely with conservative management only to recur again after some time. We are reporting a case of an 85-year-old gentleman who presented to us with gallstone ileus associated with cholecysto-duodenal fistula and his subsequent management. He underwent Laparotomy with enterotomy, stone extraction, Cholecystectomy and Graham’s patch repair of the fistula. The purpose of this case report is to discuss a rare case of gall stone ileus associated with cholecysto-duodenal fistula. The diagnosis was confirmed using imaging and appropriate and timely surgical intervention for both mechanical intestinal obstruction and the fistula was undertaken.Keywords: Gallstone ileus; Pneumo-bilia; Abdominal X-ray

Author Biographies

Said Umer, National Hospital & Medical Centre, Lahore, Pakistan

PGR, Department of General Surgery, National Hospital & Medical Centre, Lahore, Pakistan

Usman Ismat Butt, National Hospital & Medical Centre, Lahore, Pakistan

Senior Registrar, Department of General Surgery, National Hospital & Medical Centre, Lahore, Pakistan

Asad Ali Toor, Cork University Hospital, Wilton, County Cork, Republic of Ireland

Registrar General Surgery, Cork University Hospital, Wilton, County Cork, Republic of Ireland

Zeeshan Razzaq, Cork University Hospital, County Cork, Republic of Ireland

Senior Registrar, General Surgery, Cork University Hospital, County Cork, Republic of Ireland

Muhammad Waris Farooka, National Hospital & Medical Centre, Lahore, Pakistan

Associate Professor General Surgery, National Hospital & Medical Centre, Lahore, Pakistan

Shazia Noreen, Cork University Hospital, Wilton, County Cork, Republic of Ireland

Registrar General Surgery, Cork University Hospital, Wilton, County Cork, Republic of Ireland

Abeeda Butt, Cork University Hospital, Wilton, County Cork, Republic of Ireland

Senior Registrar General Surgery, Cork University Hospital, Wilton, County Cork, Republic of Ireland

Henry Paul Redmond, Cork University Hospital, Wilton, County Cork, Republic of Ireland

Professor & Chair of Department of Surgery, Cork University Hospital, Wilton, County Cork, Republic of Ireland

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Published

2018-11-27

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