Gallstone Ileus following Endoscopic Stone Extraction
An 85-year-old woman was an outpatient treated at Tokyo Rosai Hospital for cirrhosis caused by hepatitis B. She had previously been diagnosed as having common bile duct stones, for which she underwent endoscopic retrograde cholangiopancreatography (ERCP). However, as stone removal was unsuccessful,...
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| Format: | Article |
| Language: | English |
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Wiley
2014-01-01
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| Series: | Case Reports in Gastrointestinal Medicine |
| Online Access: | http://dx.doi.org/10.1155/2014/271571 |
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| author | Yoshiya Yamauchi Noritaka Wakui Yasutsugu Asai Nobuhiro Dan Yuki Takeda Nobuo Ueki Takahumi Otsuka Nobuyuki Oba Shuta Nisinakagawa Tatsuya Kojima |
| author_facet | Yoshiya Yamauchi Noritaka Wakui Yasutsugu Asai Nobuhiro Dan Yuki Takeda Nobuo Ueki Takahumi Otsuka Nobuyuki Oba Shuta Nisinakagawa Tatsuya Kojima |
| author_sort | Yoshiya Yamauchi |
| collection | DOAJ |
| description | An 85-year-old woman was an outpatient treated at Tokyo Rosai Hospital for cirrhosis caused by hepatitis B. She had previously been diagnosed as having common bile duct stones, for which she underwent endoscopic retrograde cholangiopancreatography (ERCP). However, as stone removal was unsuccessful, a plastic stent was placed after endoscopic sphincterotomy. In October 2012, the stent was replaced endoscopically because she developed cholangitis due to stent occlusion. Seven days later, we performed ERCP to treat recurring cholangitis. During the procedure, the stone was successfully removed by a balloon catheter when cleaning the common bile duct. The next day, the patient developed abdominal pain, abdominal distension, and nausea and was diagnosed as having gallstone ileus based on abdominal computed tomography (CT) and abdominal ultrasonography findings of an incarcerated stone in the terminal ileum. Although colonoscopy was performed after inserting an ileus tube, no stone was visible. Subsequent CT imaging verified the disappearance of the incarcerated stone from the ileum, suggesting that the stone had been evacuated naturally via the transanal route. Although it is extremely rare for gallstone ileus to develop as a complication of ERCP, physicians should be aware of gallstone ileus and follow patients carefully, especially after removing huge stones. |
| format | Article |
| id | doaj-art-86ea3b4d83594b05b743a8eccbd5e6a7 |
| institution | Kabale University |
| issn | 2090-6528 2090-6536 |
| language | English |
| publishDate | 2014-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Gastrointestinal Medicine |
| spelling | doaj-art-86ea3b4d83594b05b743a8eccbd5e6a72025-02-03T01:22:16ZengWileyCase Reports in Gastrointestinal Medicine2090-65282090-65362014-01-01201410.1155/2014/271571271571Gallstone Ileus following Endoscopic Stone ExtractionYoshiya Yamauchi0Noritaka Wakui1Yasutsugu Asai2Nobuhiro Dan3Yuki Takeda4Nobuo Ueki5Takahumi Otsuka6Nobuyuki Oba7Shuta Nisinakagawa8Tatsuya Kojima9Department of Internal Gastroenterology and Hepatology, Tokyo Rosai Hospital, 4-13-21 Omori-minami, Ota-ku, Tokyo 143-0013, JapanDepartment of Internal Gastroenterology and Hepatology, Tokyo Rosai Hospital, 4-13-21 Omori-minami, Ota-ku, Tokyo 143-0013, JapanDepartment of Internal Gastroenterology and Hepatology, Tokyo Rosai Hospital, 4-13-21 Omori-minami, Ota-ku, Tokyo 143-0013, JapanDepartment of Internal Gastroenterology and Hepatology, Tokyo Rosai Hospital, 4-13-21 Omori-minami, Ota-ku, Tokyo 143-0013, JapanDepartment of Internal Gastroenterology and Hepatology, Tokyo Rosai Hospital, 4-13-21 Omori-minami, Ota-ku, Tokyo 143-0013, JapanDepartment of Internal Gastroenterology and Hepatology, Tokyo Rosai Hospital, 4-13-21 Omori-minami, Ota-ku, Tokyo 143-0013, JapanDepartment of Internal Gastroenterology and Hepatology, Tokyo Rosai Hospital, 4-13-21 Omori-minami, Ota-ku, Tokyo 143-0013, JapanDepartment of Internal Gastroenterology and Hepatology, Tokyo Rosai Hospital, 4-13-21 Omori-minami, Ota-ku, Tokyo 143-0013, JapanDepartment of Internal Gastroenterology and Hepatology, Tokyo Rosai Hospital, 4-13-21 Omori-minami, Ota-ku, Tokyo 143-0013, JapanDepartment of Internal Gastroenterology and Hepatology, Tokyo Rosai Hospital, 4-13-21 Omori-minami, Ota-ku, Tokyo 143-0013, JapanAn 85-year-old woman was an outpatient treated at Tokyo Rosai Hospital for cirrhosis caused by hepatitis B. She had previously been diagnosed as having common bile duct stones, for which she underwent endoscopic retrograde cholangiopancreatography (ERCP). However, as stone removal was unsuccessful, a plastic stent was placed after endoscopic sphincterotomy. In October 2012, the stent was replaced endoscopically because she developed cholangitis due to stent occlusion. Seven days later, we performed ERCP to treat recurring cholangitis. During the procedure, the stone was successfully removed by a balloon catheter when cleaning the common bile duct. The next day, the patient developed abdominal pain, abdominal distension, and nausea and was diagnosed as having gallstone ileus based on abdominal computed tomography (CT) and abdominal ultrasonography findings of an incarcerated stone in the terminal ileum. Although colonoscopy was performed after inserting an ileus tube, no stone was visible. Subsequent CT imaging verified the disappearance of the incarcerated stone from the ileum, suggesting that the stone had been evacuated naturally via the transanal route. Although it is extremely rare for gallstone ileus to develop as a complication of ERCP, physicians should be aware of gallstone ileus and follow patients carefully, especially after removing huge stones.http://dx.doi.org/10.1155/2014/271571 |
| spellingShingle | Yoshiya Yamauchi Noritaka Wakui Yasutsugu Asai Nobuhiro Dan Yuki Takeda Nobuo Ueki Takahumi Otsuka Nobuyuki Oba Shuta Nisinakagawa Tatsuya Kojima Gallstone Ileus following Endoscopic Stone Extraction Case Reports in Gastrointestinal Medicine |
| title | Gallstone Ileus following Endoscopic Stone Extraction |
| title_full | Gallstone Ileus following Endoscopic Stone Extraction |
| title_fullStr | Gallstone Ileus following Endoscopic Stone Extraction |
| title_full_unstemmed | Gallstone Ileus following Endoscopic Stone Extraction |
| title_short | Gallstone Ileus following Endoscopic Stone Extraction |
| title_sort | gallstone ileus following endoscopic stone extraction |
| url | http://dx.doi.org/10.1155/2014/271571 |
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