Gallstone ileus. Report of two cases


COD: 01_2010_053-56 Categorie: ,

Erasmo Spaziani, Marcello Picchio, Annalisa Di Filippo, Francesco De Angelis, Giuseppe Marino, Franco Stagnitti

Ann. Ital. Chir., 2010; 81: 53-55




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Gallstone ileus is uncommon. Gallstone impaction in the jejunum was rarely reported.
We report two cases of gallstone impaction in the proximal jejunum and in the distal ileum. One patient was treated
with enterolithotomy alone and in the other one enterolithotomy was combined to cholecystectomy and repair of a cholecystoduodenal
Contrast-enhanced computed tomography of the abdomen is the mainstay of diagnosis. One-stage procedure including
both enterolithotomy and cholecystectomy with bilioenteric fistula repair should be reserved to low-risk patients.