scholarly journals Large Bowel Obstruction Due to a Big Gallstone Successfully Treated with Endoscopic Mechanical Lithotripsy

2015 ◽  
Vol 2015 ◽  
pp. 1-3 ◽  
Author(s):  
Marco Balzarini ◽  
Laura Broglia ◽  
Giovanni Comi ◽  
Calcedonio Calcara
Keyword(s):  
High Risk ◽  
Sigmoid Colon ◽  
Surgical Management ◽  
Bowel Obstruction ◽  
Large Bowel ◽  
Colonic Obstruction ◽  
Gallstone Ileus ◽  
Large Bowel Obstruction ◽  
Mechanical Lithotripsy ◽  
Mechanical Bowel Obstruction

Colonic gallstone ileus in an uncommon mechanical bowel obstruction caused by intraluminal impaction of one or more gallstones. The surgical management of gallstone ileus is complex and is potentially of high risk. There have been reports of gallstone extractions using various endoscopic modalities to relieve the obstruction. In this report we present the technique employed to successfully perform a mechanical lithotripsy and extraction of a large gallstone embedded in a sigmoid colon affected by diverticular stenosis. We passed through the stenosis with a 11.3 mm videoscope with 3.7 mm channel. A large lithotripsy extraction basket was used to catch and break up the stone and fragments were removed using the same basket. The patient was discharged asymptomatic three days after the procedure. Using appropriate devices mechanical lithotripsy is a safe and effective method to treat colonic obstruction and avoid surgery in the setting of gallstone ileus even in case of big stones.

scholarly journals Gallstone Ileus of the Sigmoid Colon: An Unusual Cause of Large-Bowel Obstruction

HPB Surgery ◽  
2010 ◽  
Vol 2010 ◽  
pp. 1-3 ◽  
Author(s):  
Nadir Osman ◽  
Daren Subar ◽  
Mong-Yang Loh ◽  
Andrzej Goscimski
Keyword(s):  
Sigmoid Colon ◽  
Bowel Obstruction ◽  
Large Bowel ◽  
Gallstone Ileus ◽  
Large Bowel Obstruction ◽  
Fistula Formation ◽  
Radiological Investigation ◽  
Diagnostic Aid ◽  
Contrast Enhanced ◽  
Symptoms And Signs

Gallstone ileus of the colon is an exceedingly rare cause of large-bowel obstruction. It is usually the result of fistula formation between the gallbladder and large bowel facilitating entry of the stone into gastrointestinal tract. Contrast enhanced abdominal computed tomography is an important diagnostic aid. Surgical management is the treatment of choice to prevent the disastrous complications of large-bowel obstruction. We describe the case of a 92-year-old man who presented with symptoms and signs of large-bowel obstruction. Radiological investigation showed a large gallstone impacted in the sigmoid colon. Open enterolithotomy was undertaken relieving the obstruction and the patient made a full recovery.

Successful Endoscopic Relief of Large Bowel Obstruction in a Case of a Sigmoid Colon Gallstone Ileus

1997 ◽  
Vol 24 (4) ◽  
pp. 291-292 ◽  
Author(s):  
S. Garcia-López ◽  
J. J. Sebastián ◽  
R. Uribarrena ◽  
P. Solanilla ◽  
J. M. Artigas
Keyword(s):  
Sigmoid Colon ◽  
Bowel Obstruction ◽  
Large Bowel ◽  
Gallstone Ileus ◽  
Large Bowel Obstruction

scholarly journals A case of colonic gallstone ileus with a spontaneous evacuation

1970 ◽  
Vol 9 (1) ◽  
pp. 47-49 ◽  
Author(s):  
A Bajracharya ◽  
OP Pathania ◽  
S Adhikary ◽  
CS Agrawal
Keyword(s):  
Bowel Obstruction ◽  
Large Bowel ◽  
Gallstone Ileus ◽  
Abdominal Distension ◽  
The Elderly ◽  
Large Bowel Obstruction ◽  
High Morbidity ◽  
Diagnostic Challenge ◽  
History Of ◽  
Spontaneous Evacuation

Colonic gallstone is an uncommon entity with a high morbidity and mortality due to various reasons. It remains a diagnostic challenge because of delayed and non-specific presentations, especially in the elderly population, often with multiple co-morbidities. We present a case of colonic gallstone ileus with spontaneous evacuation in a 67 years female who had a threeday history of intermittent bouts of colicky abdominal pain, vomiting , constipation and progressive abdominal distension, features of large bowel obstruction treated non operatively for 72 hours and passage of the stone spontaneously. Keywords: gallstone ileus; large bowel obstruction; colonic gallstone DOI: 10.3126/hren.v9i1.4363Health Renaissance, 2011: Vol.9 No.1:47-49

scholarly journals Sigmoid gallstone ileus: a rare cause of large bowel obstruction

2010 ◽  
Vol 2010 (nov04 1) ◽  
pp. bcr0420102886-bcr0420102886 ◽  
Author(s):  
N. Ventham ◽  
T. Eves ◽  
D. Raje ◽  
P. Willson
Keyword(s):  
Bowel Obstruction ◽  
Large Bowel ◽  
Gallstone Ileus ◽  
Large Bowel Obstruction

scholarly journals Sigmoid colon endometriotic mass. A rare cause of complete large bowel obstruction

2015 ◽  
Vol 36 (5) ◽  
pp. 630-633 ◽  
Author(s):  
Hamad Al-Qahtani ◽  
Haitham Alfalah ◽  
Reem Al-Salamah ◽  
Adel Elshair
Keyword(s):  
Sigmoid Colon ◽  
Bowel Obstruction ◽  
Large Bowel ◽  
Large Bowel Obstruction

scholarly journals Secondary colonic stent insertion in acute large bowel obstruction following primary stent failure

2020 ◽  
Vol 102 (2) ◽  
pp. 141-143
Author(s):  
A Lazzaro ◽  
A Saini ◽  
C Elton ◽  
GK Atkin ◽  
IC Mitchell ◽  
...  
Keyword(s):  
High Risk ◽  
Bowel Obstruction ◽  
Large Bowel ◽  
Large Bowel Obstruction ◽  
Definitive Treatment ◽  
Stent Insertion ◽  
Bridge To Surgery ◽  
Duration Of Efficacy ◽  
Colonic Stent

Introduction Colonic stent insertion has been shown to be an effective treatment for patients with acute large bowel obstruction, either as a bridge to surgery or as definitive treatment. However, little is known of the role of secondary stent insertion following primary stent failure in patients considered inappropriate or high risk for emergency surgery. Methods Fourteen patients presenting with acute large bowel obstruction who had previously been treated with colonic stent insertion were studied. All underwent attempted placement of a secondary stent. Results Technical deployment of the stent was accomplished in 12 patients (86%) but only 9 (64%) achieved clinical decompression. Successful deployment and clinical decompression of a secondary stent was associated with older age (p=0.038). Sex, pathology, site of obstruction, duration of efficacy of initial stent and cause of primary failure were unrelated to outcome. No procedure related morbidity or mortality was noted following repeated intervention. Conclusions Secondary colonic stent insertion appears an effective, safe treatment in the majority of patients presenting with acute large bowel obstruction following failure of a primary stent.

scholarly journals Very rare case of synchronous volvulus of the sigmoid colon and caecum causing large-bowel obstruction

2019 ◽  
Vol 12 (1) ◽  
pp. bcr-2018-227375 ◽  
Author(s):  
Susmit Prosun Roy ◽  
Yeng Kwang Tay ◽  
Daniel Kozman
Keyword(s):  
Sigmoid Colon ◽  
Bowel Obstruction ◽  
Large Bowel ◽  
Rare Case ◽  
Total Colectomy ◽  
Large Bowel Obstruction ◽  
Rare Entity ◽  
Common Site ◽  
Colonic Volvulus ◽  
Life Threatening

Large-bowel obstruction caused by volvulus is potentially life threatening if not managed promptly. Sigmoid colon is the most common site of volvulus followed by caecum. Synchronous double colonic volvulus is an exceedingly rare entity, with only five cases published previously. We present the case of a 77-year-old man with a synchronous sigmoid and caecal volvulus. He underwent total colectomy with ileostomy formation with a view to reverse the ileostomy at a later date.

Incarcerated lumbar hernia in the Petit´s triangle as a cause of large bowel obstruction

2020 ◽  
Vol 99 (9) ◽  
Keyword(s):  
Case Report ◽  
Sigmoid Colon ◽  
Bowel Obstruction ◽  
Large Bowel ◽  
Clinical Manifestations ◽  
Large Bowel Obstruction ◽  
Lumbar Hernia ◽  
Urgent Surgery ◽  
Threatening Condition ◽  
Lower Lumbar

Petit’s hernia is a rare defect in the abdominal wall located in the lower lumbar triangle. The herniation in the Petiti trigonum is complicated by bowel incarceration in about 9% of cases, most often of the large bowel. We present a case report of a 73-year-old patient with clinical manifestations of large bowel obstrution. The patient was admitted and indicated for urgent surgery. Incarcerated left lumbar hernia in the Petit’s triangle with herniation of sigmoid colon that showed no signs of ischemia was found. Reposition of the sigmoid colon and hernioplasty of the lumbar hernia was performed. There were no postoperative complications and the patient was discharged on postoperative day 9. The presented case report shows that the lumbar hernia (Petit) may result in bowel obstruction and thus may cause a life-threatening condition that requires urgent surgical intervention.

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