gallstone ileus


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gall·stone il·e·us

obstruction of the small intestine produced by passage of a gallstone from the biliary tract (usually the gallbladder as a result of cholecystitis) into the intestinal tract (usually by means of a fistulous connection between the gallbladder and the small intestine); occurrence and site of obstruction depend on size of the stone, but the usual location is at or near the ileocecal junction.

gallstone ileus

An obstruction of the small bowel, occurring typically but not exclusively in elderly female patients and caused by the trapping of a large gallstone at or near the ileocecal valve. Most gallstones responsible for ileus are greater than 2.5 cm in diameter.
See also: ileus

Gallstone ileus

Obstruction of the large intestine caused by a gallstone that has blocked the intestinal opening.
Mentioned in: Gallstones
References in periodicals archive ?
Role of helical CT in diagnosis of gallstone ileus and related conditions.
Complications of gallstones: The Mirizzi syndrome, gallstone ileus, gallstone pancreatitis, complications of 'lost' gallstones.
Findings of a gallstone ileus is an absolute indication for surgery, though due to advances in technique, laparoscopic approaches to enterolithotomy and cholecystofistulectomy may be used by those sufficiently skilled.
Gallstone ileus and bowel perforation after endoscopic sphincterotomy.
Bouveret syndrome, in contrast to gallstone ileus, is characterized by the cephalad or proximal migration of a gallstone into the duodenum resulting in a persistent gastric outlet obstruction as originally described by the French surgeon Leon Bouveret in 1896.
Bouveret syndrome is considered a distinct clinical entity from gallstone ileus due to the proximal site of the obstructing stone.
Chatterjee S, Tamonas C, Goutan G, Ambar G: Gallstone ileus an atypical presentation and unusual location.
Williams JB, Mehta S G, Vu T, Wonderlich DA: Gallstone ileus.
The term gallstone ileus was first used by Bartolin in 1654 and referred to the mechanical intestinal obstruction due to impaction of one or more large gallstones within the GI tract.
The clinical manifestations of gallstone ileus are variable and usually depend on the site of obstruction.
CONCLUSION: In the clinical setting of a SBO due to a mass, enteroliths must be considered in the differential diagnosis when there is no evidence of gallstone ileus or malignancy.