The oldest patient with gallstone ileus: Report of a case and review of 176 cases in Japan

Atsunori Nakao, Yasuhisa Okamoto, Masataka Sunami, Takuji Fujita, Takao Tsuji

Research output: Contribution to journalArticle

29 Citations (Scopus)

Abstract

We report a 91-year-old woman presenting bowel obstruction due to impacted gallstone, who was the oldest patient which has been reported in Japanese scientific literature. The patient was referred to our hospital due to vomiting and abdominal pain. Computed tomography and abdominal X-ray showed dilated loops of small intestine associated with air-fluid levels, pneumobilia, and a calcified mass in the left iliac fossa. After the diagnosis of bowel obstruction due to gallstone was made, an enterotomy and lithotomy was performed under spinal anesthesia. The postoperative recovery was uneventful. We also reviewed 176 cases of gallstone ileus which were reported in the Japanese literature in the past 20 years. The retrospective analysis demonstrated that one-stage enterolithotomy alone may be acceptable as the first choice of operative treatment. The gallstone ileus is a rare, but important disease because urgent and appropriate surgical therapy is required.

Original languageEnglish
Pages (from-to)29-33
Number of pages5
JournalKurume Medical Journal
Volume55
Issue number1-2
Publication statusPublished - 2008
Externally publishedYes

Fingerprint

Ileus
Gallstones
Japan
Literature
X Ray Computed Tomography
Spinal Anesthesia
Rare Diseases
Abdominal Pain
Small Intestine
Vomiting
Air
Therapeutics

Keywords

  • Bowel obstruction
  • Cholecystoduodenal fistula
  • Gallstone ileus
  • Pneumobilia
  • Surgery

ASJC Scopus subject areas

  • Medicine(all)

Cite this

The oldest patient with gallstone ileus : Report of a case and review of 176 cases in Japan. / Nakao, Atsunori; Okamoto, Yasuhisa; Sunami, Masataka; Fujita, Takuji; Tsuji, Takao.

In: Kurume Medical Journal, Vol. 55, No. 1-2, 2008, p. 29-33.

Research output: Contribution to journalArticle

Nakao, A, Okamoto, Y, Sunami, M, Fujita, T & Tsuji, T 2008, 'The oldest patient with gallstone ileus: Report of a case and review of 176 cases in Japan', Kurume Medical Journal, vol. 55, no. 1-2, pp. 29-33.
Nakao, Atsunori ; Okamoto, Yasuhisa ; Sunami, Masataka ; Fujita, Takuji ; Tsuji, Takao. / The oldest patient with gallstone ileus : Report of a case and review of 176 cases in Japan. In: Kurume Medical Journal. 2008 ; Vol. 55, No. 1-2. pp. 29-33.
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