Acute, subacute, and chronic classification can also be performed according to the onset of gallstone ileus
. The chronic type is referred to as Karewsky syndrome and is characterized by chronic repetitive pain attacks and asymptomatic periods, resulting from the passage of bile duct stones through the bowel (3).
Contrast enhanced CT evaluation of acute SBO offers prompt and rapid diagnosis of gallstone ileus
* Surgical management of gallstone ileus
must be individualized according to the patient's comorbid conditions.
Usufulness of CT-scan in the diagnosis and therapeutic approach of gallstone ileus
: report of two surgically treated cases.
The term 'gallstone ileus
' refers to mechanical small-bowel obstruction as a result of acute or chronic cholecystitis.
: increased diagnostic sensitivity by combining plain film and ultrasound.
Although there has been report in the literature of successful conservative management of gallstone ileus
(8), gallstone ileus
is managed surgically.
Less common presentations and complications include the Mirizzi syndrome, cholecystocholedochal fistula, and gallstone ileus
Here, we present a case of primary intestinal enterolith causing small bowel obstruction that was originally diagnosed as a secondary gallstone ileus
This type of gallstone ileus
was first described by the Beaussier in 1770 and again by Leon Bouveret in 1896 .
Male Female 1 Simple chronic cholecystitis 28 138 69.2 with cholelithiasis 2 Simple acute on chronic 0 10 4.2 cholecystitis with cholelithiasis 3 Acute acalculus 0 5 2.1 cholecystitis 4 Acute cholecystitis with 2 16 7.5 mucocele of gallbladder 5 Acute cholecystitis with 2 11 5.4 empyema of gallbladder 6 Gallstone with pancreatitis -- -- -- 7 Acute cholecystitis with -- -- -- gallbladder perforation 8 Acute cholecystitis 1 0 0.4 gallbladder gangrene 9 Gallstone ileus
-- -- -- 10 Carcinoma gallbladder 2 5 2.9 11 Mirizzi's syndrome -- -- -- 12 Chronic cholecystitis with 1 13 5.8 choledocholithiasis 13 Benign GB polyp with acute 1 1 0.8 acalculus cholecystitis 14 Asymptomatic chronic 1 3 1.7 cholelithiasis
is a rare disease and accounts for 1-4% of all cases of mechanical intestinal obstruction.