Characteristics of gallstone ileus case series
| Case (age/sex) | Comorbid | Vitals unstable, yes/no | Presenting symptoms | Operation | Impacted stone’s location | Intraop-complication | Complication/outcome |
|---|---|---|---|---|---|---|---|
| Case 1 (54 yr/female) | Nil | Yes | Abdominal distention and pain for 6 days, nausea, billous vomiting, constipation and minimal flatus | Enterolithotomy and primary repair | Distal ileum | Nil | Asymptomatic at 2 years follow up. No subsequent cholecystectomy or fistula repair |
| Case 2 (58 yr/female) | Diabetes mellitus, history of gallstone disease | Yes | Right hypochondrium pain for 2 weeks, jaundice, fever and tea-coloured urine. Then having abdominal distention, nausea, vomiting | Enterolithotomy and primary repair | Distal ileum | Nil | Asymptomatic at 6th month follow up. Refused surgery due to covid pandemic |
| Case 3 (67 yr/female) | Major depressive disorder | No | Abdominal distention, nausea, vomiting for 5 days | Enterolithotomy, cholecystectomy, common bile duct exploration via transcystic approach and fistula closure | Distal ileum | Duodenum injury-primary repair. Discharged home following 1 week of stay. |
Asymptomatic at 1 year follow up |
| Case 4 (54 yr/male) | Diabetes mellitus, hypertension, dyslipidemia, coronary artery bypass grafting | No | Abdominal distention, nausea, vomiting for 4 days | Enterolithotomy, cholecystostomy and T-tube cholecystostomy drain | Distal jejunum | T-tube removed at day 10 post operatively | Asymptomatic at 2 years follow up. No subsequent cholecystectomy |