Mechanical intestinal obstruction secondary to impaction of a gallstone within bowel lumen
Stone is usually >2.5 cm
1–3% of all intestinal obstructions
Most cases occur in patients ...
“Tumbling” abdominal discomfort:
Episodic abdominal pain as stone lodges and dislodges throughout the intestines.
Complete impaction leads to severe, often acute abdominal pa...
Nasogastric suction to decompress the stomach and intestine
Admit all patients with gallstone ileus
Surgical evaluation for emergent operative intervention
Gallstone ileus is a mechanical intestinal obstruction rather than a true ileus.
Emergent surgical consultation is required for definitive management.
High mortality rates stem from ...
Bennett GL, Balthazar EJ. Ultrasound and CT evaluation of emergent gallbladder pathology. Radiol Clin North Am. 2003;41:1203–1216.
Chou JW, Hsu CH, Liao KF, et al. Gallsto...
37976006 gallstone ileus (disorder)
Sign up for a 10-day FREE Trial now and receive full access to all content.