Acute Obstructive Abdomen Due to Gallstone Ileus: Case Report and Literature Review

Main Article Content

Fabricio Grenteski
Laura Mendes Lopes
https://orcid.org/0000-0001-5788-0350
Gabriel Rodrigo Cavalheiro
Gustavo Henrique Morcelli da Costa
Carlos Roberto Naufel Júnior
Guilherme de Andrade Coelho
Guilherme Ferrarini
Igor Luna Peixoto
José Anderson Feitoza

Abstract

Gallstone Ileus is a rare complication of cholelithiasis and one of the rarest forms of mechanical intestinal obstruction. It occurs in 0.3% to 0.5% of patients with cholelithiasis and is responsible for 1% to 4% of cases of mechanical obstruction. It is caused by the impaction of gallstones in the gastrointestinal tract after passing through biliary-enteric fistulas. The diagnosis is often delayed or missed due to the non-specificity of symptoms, leading to a reserved prognosis with high mortality and morbidity rates. Although the treatment and management of gallstone ileus remain controversial, the primary therapeutic goal is the extraction of the stone through a surgical approach. This case aims to describe a rare instance of intestinal obstruction due to gallstone ileus, where the stone was eliminated with clinical measures combined with surgery to correct a choledochoduodenal fistula.

Article Details

How to Cite
Grenteski, F., Lopes, L. M., Cavalheiro, G. R., Costa, G. H. M. da, Naufel Júnior, C. R., Coelho, G. de A., Ferrarini, G., Peixoto, I. L., & Feitoza, J. A. (2024). Acute Obstructive Abdomen Due to Gallstone Ileus: Case Report and Literature Review. Brazilian Journal of Case Reports, 5(1), bjcr14. https://doi.org/10.52600/2763-583X.bjcr.2025.5.1.bjcr14
Section
Clinical Case Reports
Author Biographies

Fabricio Grenteski, Department of General Surgery, Mackenzie Evangelical University Hospital - HUEM

Department of General Surgery, Mackenzie Evangelical University Hospital - HUEM, Curitiba, PR, Brazil.

Laura Mendes Lopes, Faculty of Medicine, Mackenzie Evangelical Faculty of Paraná - FEMPAR

Faculty of Medicine, Mackenzie Evangelical Faculty of Paraná - FEMPAR, Curitiba, PR, Brazil.

Gabriel Rodrigo Cavalheiro, Faculty of Medicine, Mackenzie Evangelical Faculty of Paraná - FEMPAR, Curitiba, PR, Brazil.

Faculty of Medicine, Mackenzie Evangelical Faculty of Paraná - FEMPAR, Curitiba, PR, Brazil.

Gustavo Henrique Morcelli da Costa, Faculty of Medicine, Mackenzie Evangelical Faculty of Paraná - FEMPAR

Faculty of Medicine, Mackenzie Evangelical Faculty of Paraná - FEMPAR, Curitiba, PR, Brazil.

Carlos Roberto Naufel Júnior, Department of General and Digestive System Surgery, Mackenzie Evangelical University Hospital - HUEM

Department of General and Digestive System Surgery, Mackenzie Evangelical University Hospital - HUEM, Curitiba, PR, Brazil.

Guilherme de Andrade Coelho, Department of General Surgery, Mackenzie Evangelical University Hospital - HUEM, Curitiba, PR, Brazil.

Department of General Surgery, Mackenzie Evangelical University Hospital - HUEM, Curitiba, PR, Brazil.

Guilherme Ferrarini, Department of General Surgery, Mackenzie Evangelical University Hospital - HUEM

Department of General Surgery, Mackenzie Evangelical University Hospital - HUEM, Curitiba, PR, Brazil.

Igor Luna Peixoto, Department of Liver Transplantation, Mackenzie Evangelical University Hospital - HUEM

Departamento de Transplante Hepático, Hospital Universitário Evangélico Mackenzie - HUEM, Curitiba, Paraná/PR, Brasil.

José Anderson Feitoza, Department of Digestive System Surgery, Mackenzie Evangelical University Hospital - HUEM

Department of Digestive System Surgery, Mackenzie Evangelical University Hospital - HUEM, Curitiba, PR, Brazil.

References

Turner AR, Sharma B, Mukherjee S. Gallstone Ileus [Internet]. Treasure Island (FL): StatPearls Publishing; 2022 Sep.

Hussain Z, Ahmed MS, Alexander DJ, Miller GV, Chintapatla S. Recurrent recurrent gallstone ileus. Ann R Coll Surg Engl [Internet]. 2010 Jul [citado 2024 Jul 22];92(5). doi: 10.1308/147870810X12659688851753.

Teelucksingh S, Boppana LKT, Goli S, Naraynsingh V. Gallstone ileus 1 year after cholecystectomy. J Surg Case Rep. 2018 Jul;2018(7). doi: 10.1093/jscr/rjy153.

Inukai K. Gallstone ileus: a review. BMJ Open Gastroenterol. 2019 Nov;6(1). doi: 10.1136/bmjgast-2019-000344.

Reisner RM, Cohen JR. Gallstone ileus: a review of 1001 reported cases. Am Surg. 1994 Jun;60(6):441-6.

Izanec JL, Gordon SJ. The “Tumbling Phenomenon” in Gallstone Ileus: 513. Am J Gastroenterol. 2005 Sep;100.

Nuño-Guzmán CM, Marín-Contreras ME, Figueroa-Sánchez M, Corona JL. Gallstone ileus, clinical presentation, diagnostic and treatment approach. World J Gastrointest Surg. 2016 Jan 27;8(1):65-76. doi: 10.4240/wjgs.v8.i1.65.

Rodrigues de Souza N, Lopes MT, Fernanda LE, Schimitz Junior A, Toneto MG. Aspectos atuais no manejo dos pacientes com íleo biliar. Acta Med (Porto Alegre). 2014 Sep;35.

Inukai K, Tsuji E, Takashima N, Yamamoto M. Laparoscopic two-stage procedure for gallstone ileus. J Min Access Surg [Internet]. 2019 Jul;15(2):164-6. doi: 10.4103/jmas.JMAS_88_18.

Pezzoli A, Maimone A, Fusetti N, Pizzo E. Gallstone ileus treated with non-surgical conservative methods: a case report. J Med Case Rep. 2015 Mar 2;9:15. doi: 10.1186/1752-1947-9-15.

Portincasa P, Di Ciaula A, de Bari O, Garruti G, Palmieri VO, Wang DQ. Management of gallstones and its related complica-tions. Expert Rev Gastroenterol Hepatol. 2016;10(1):93-112. doi: 10.1586/17474124.2016.1109445.

Jakubauskas M, Luksaite R, Sileikis A, Strupas K, Poskus T. Gallstone Ileus: Management and Clinical Outcomes. Medicina (Kaunas). 2019 Sep 17;55(9):598. doi: 10.3390/medicina55090598.

Scuderi V, Adamo V, Naddeo M, Di Natale W, Boglione L, Cavalli S. Gallstone ileus: monocentric experience looking for the adequate approach. Updates Surg. 2018 Dec;70(4):503-511. doi: 10.1007/s13304-017-0495-z.

Ploneda-Valencia CF, Gallo-Morales M, Rinchon C, Navarro-Muñiz E, Bautista-López CA, de la Cerda-Trujillo LF, Rea-Azpeitia LA, López-Lizarraga CR. Gallstone ileus: An overview of the literature. Rev Gastroenterol Mex. 2017 Jul-Sep;82(3):248-254. doi: 10.1016/j.rgmx.2016.07.006.

Most read articles by the same author(s)