Spontaneous Remission Of Gallstone Ileus
Wu, T. S., Ng, W. C., Wu, J. M., & Chen, K. H. (2024). Spontaneous remission of gallstone ileus. Asian journal of surgery, S1015-9584(24)01409-X. Advance online publication. https://doi.org/10.1016/j.asjsur.2024.07.055
View Original Source →Case Details
Disease Location
Ileum
Personal Characteristics
78-year-old female. History of right femoral neck fracture operation, aspiration pneumonia, hypertensive cardiovascular disease, and diabetes mellitus
Clinical Characteristics
Presented with episodes of vomiting for one day. She was bedridden and totally dependent on her daily activities. Laboratory tests showed leukocytosis. Due to repeated vomiting, a nasogastric (ng) tube was inserted for decompression. CT scan delineated a 1.5 cm stone located at the terminal ileum, accompanied by distended proximal small bowel, collapsed distal small bowel, air in the gall bladder and common hepatic duct, suggesting the diagnosis of gallstone ileus. Diagnostic laparoscopy was performed.
Remission Characteristics
No apparent gallstone with obstruction was detected.
Treatment & Mechanisms
Proposed Remission Mechanisms
The stone might have passed through the ileocecal valve spontaneously
Clinical Treatment
Nasogastric tube, diagnostic laparoscopy.