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Gallstone Ileus: A Report of 23 Cases

Gallstone Ileus: A Report of 23 Cases Abstract Gallstone ileus can be defined as mechanical intestinal obstruction due to intraluminal occlusion of bowel by a biliary calculus.1 Although it was once thought to be a unique clinical entity, it is not so uncommon that the average surgeon has not observed at least one case. Bartholin was the first to record a case of cholecystoenteric fistula with entrance of a gallstone into the intestinal tract, in a patient examined at autopsy in 1654.2 Courvoisier published the first article in 1890 in which he reported on 131 cases of gallstone ileus.3 It is interesting to note that the mortality in the 125 operations which were performed for this condition was 44%. Since that time comprehensive reviews of the literature and recorded additional cases,4-7 have augmented our understanding of this entity, as well as its proper management. It is the purpose of this report to review the References 1. Bjoernberg, O.: Gallstone Ileus with Perforation of the Colon , Nord. Med. 64:1164-6 ( (Sept.) ) 1960. 2. Martin, F.: Intestinal Obstruction Due to Gallstones , Amer. Surg. 55:725, 1912. 3. Courvoisier, L. G.: Casuistisch-Statistische Beiträge zur Pathologie und Chirurgie der Gallenwege , Leipzig, F C.W. Vogel, 1890. 4. Borman, C. N., and Rigler, L. G.: Spontaneous Biliary Fistula and Gallstone Obstruction with Particular Reference to Roentgenologic Diagnosis , Surgery 1:359, 1937. 5. Brockis, J. G., and Gilbert, M. C.: Intestinal Obstruction by Gallstones; a Review of 179 Cases , Brit. J. Surg. 44:461-466 ( (Mar.) ) 1957.Crossref 6. Foss, H. L., and Summers, J. D.: Intestinal Obstruction from Gallstones , Amer. Surg. 115:721, 1942. 7. Jekler, J.: Intestinal Obstruction Caused by Impacted Gallstones , Surgery 46:858-63 ( (Nov.) ) 1959. 8. Raiford, T. S.: Intestinal Obstruction Due to Gallstones , Amer. Surg. 153:830-8 ( (June) ) 1961. 9. Meyer, K. A., and Spivack, J. L.: Intestinal Obstruction: Analysis of 505 Cases from Records of Cook County Hospital, Chicago, Illinois , Amer. Surg. 100:148, 1934. 10. Moore, G. A.: Gallstone Ileus , Boston Med. Surg. J. 192:1051, 1925.Crossref 11. Nemir, P.: Gallstone Ileus , Surg. Gynec. Obstet. 94:469, 1952. 12. Deckoff, S. L.: Gallstone Ileus , Amer. Surg. 142:52, 1955. 13. Strohl, E.; Diffenbaugh, W.; Baker, J., and Cheema, M.: Gangrene and Perforation of the Gallbladder (Collective Review) , Surg. Gynec. Obstet. 114, 1962. 14. Coffey, R., and Willox, G.: Gallstone Obstruction of the Intestinal Tract , Amer. Surg. 18: 286, 1952. 15. Brewer, M. S.: Gallstone Ileus Produced by Stone Passed Through Ampulla of Vater , Amer. Surg. 21:508-512 ( (May) ) 1955. 16. Mulder, D. G., and Flynn, P. J.: Gallstone Ileus in the Absence of Biliary Fistula , A.M.A. Arch. Surg. 76:530-535 ( (April) ) 1958.Crossref 17. Bernhard, F.: Die spontanen inneren Gallenfistein und Ihre operative Behandlung , Deutsch. Z. Chir. 242:493, 1934.Crossref 18. Murphy, J. B.: Gallstone Disease and Its Relation to Intestinal Obstruction , Illinois Med. J. 18: 272, 1910. 19. Hand, B. H., and Gilmore, W. E.: Gallstone Ileus: Recurrence in 1 Case , Amer. J. Surg. 59:72, 1943.Crossref 20. Grey-Turner, G.: A Giant Gallstone Impacted in the Colon Causing Acute Obstruction , Brit. J. Surg. 20:26, 1932.Crossref 21. Holm, P., and Linnet-Jepsen, P.: Colon Obstruction Caused by Gallstones , Acta Chir. Scand. 107:31-40, 1954. 22. Lampe, C. E., Obstruction of the Colon by Gallstones: Report of a Case and Analysis of 20 Cases of Gallstone Ileus with Special Reference to Roentgen Diagnosis , Ugeskr. Laeger 119: 121 ( (Jan.) ) 1957. 23. Luzzati, E. F., and Kline, J. R.: Gallstone Obstruction of the Colon , J. Kansas Med. Soc. 62: 268-269 ( (June) ) 1961. 24. Pryor, J. H.: Gallstone Obstruction of the Sigmoid with Particular Reference to Aetiology , Brit. J. Surg. 47:259, 1959.Crossref 25. Figiel, L. S., and Figiel, S. J.: Gallstone Obturation of Duodenal Bulb , Amer. J. Roentgenol. 76:24-31 ( (July) ) 1956. 26. Hinchey, P. R.: Gallstone Ileus , Arch. Surg. 46:9, 1943.Crossref 27. Drucker, V.: Small Intestinal Gallstone Ileus and Use of Barium Sulfate per Os in Its Diagnosis , A.M.A. Arch. Surg. 79:22 ( (July) ) 1959.Crossref 28. Wangensteen, O. H.: Intestinal Obstructions , Ed. 2, Charles C Thomas, Publisher 1947, p. 317. 29. Rigler, L. G.; Borman, C. W., and Noble, J. F.: Gallstone Obstruction: Pathogenesis and Roentgen Manifestations , J.A.M.A. 117:1753, 1941.Crossref 30. Zatskin, H. R.; Tugendhaft, R. I., and Curran, H. P.: Roentgen Diagnosis of Spontaneous Internal Biliary Fistulas and Gallstone Ileus , Surg. Gynec. Obstet. 102:234-238 ( (Feb.) ) 1956. 31. Fiddian, R. V.: Gallstone Ileus: Recurrences and Multiple Stones , Postgrad. Med. J. 35:673-676 ( (Dec.) ) 1959.Crossref 32. Fraser, W. J.: Intestinal Obstruction by Gallstones , Brit. J. Surg. 142:210, 1954.Crossref 33. Buetow, G.: Unpublished data. 34. Levowitz, S.: Spontaneous Internal Biliary Fistula , Amer. Surg. 154:241, 1961. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Surgery American Medical Association

Gallstone Ileus: A Report of 23 Cases

Archives of Surgery , Volume 86 (3) – Mar 1, 1963

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Publisher
American Medical Association
Copyright
Copyright © 1963 American Medical Association. All Rights Reserved.
ISSN
0004-0010
eISSN
1538-3644
DOI
10.1001/archsurg.1963.01310090154029
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Abstract

Abstract Gallstone ileus can be defined as mechanical intestinal obstruction due to intraluminal occlusion of bowel by a biliary calculus.1 Although it was once thought to be a unique clinical entity, it is not so uncommon that the average surgeon has not observed at least one case. Bartholin was the first to record a case of cholecystoenteric fistula with entrance of a gallstone into the intestinal tract, in a patient examined at autopsy in 1654.2 Courvoisier published the first article in 1890 in which he reported on 131 cases of gallstone ileus.3 It is interesting to note that the mortality in the 125 operations which were performed for this condition was 44%. Since that time comprehensive reviews of the literature and recorded additional cases,4-7 have augmented our understanding of this entity, as well as its proper management. It is the purpose of this report to review the References 1. Bjoernberg, O.: Gallstone Ileus with Perforation of the Colon , Nord. Med. 64:1164-6 ( (Sept.) ) 1960. 2. Martin, F.: Intestinal Obstruction Due to Gallstones , Amer. Surg. 55:725, 1912. 3. Courvoisier, L. G.: Casuistisch-Statistische Beiträge zur Pathologie und Chirurgie der Gallenwege , Leipzig, F C.W. Vogel, 1890. 4. Borman, C. N., and Rigler, L. G.: Spontaneous Biliary Fistula and Gallstone Obstruction with Particular Reference to Roentgenologic Diagnosis , Surgery 1:359, 1937. 5. Brockis, J. G., and Gilbert, M. C.: Intestinal Obstruction by Gallstones; a Review of 179 Cases , Brit. J. Surg. 44:461-466 ( (Mar.) ) 1957.Crossref 6. Foss, H. L., and Summers, J. D.: Intestinal Obstruction from Gallstones , Amer. Surg. 115:721, 1942. 7. Jekler, J.: Intestinal Obstruction Caused by Impacted Gallstones , Surgery 46:858-63 ( (Nov.) ) 1959. 8. Raiford, T. S.: Intestinal Obstruction Due to Gallstones , Amer. Surg. 153:830-8 ( (June) ) 1961. 9. Meyer, K. A., and Spivack, J. L.: Intestinal Obstruction: Analysis of 505 Cases from Records of Cook County Hospital, Chicago, Illinois , Amer. Surg. 100:148, 1934. 10. Moore, G. A.: Gallstone Ileus , Boston Med. Surg. J. 192:1051, 1925.Crossref 11. Nemir, P.: Gallstone Ileus , Surg. Gynec. Obstet. 94:469, 1952. 12. Deckoff, S. L.: Gallstone Ileus , Amer. Surg. 142:52, 1955. 13. Strohl, E.; Diffenbaugh, W.; Baker, J., and Cheema, M.: Gangrene and Perforation of the Gallbladder (Collective Review) , Surg. Gynec. Obstet. 114, 1962. 14. Coffey, R., and Willox, G.: Gallstone Obstruction of the Intestinal Tract , Amer. Surg. 18: 286, 1952. 15. Brewer, M. S.: Gallstone Ileus Produced by Stone Passed Through Ampulla of Vater , Amer. Surg. 21:508-512 ( (May) ) 1955. 16. Mulder, D. G., and Flynn, P. J.: Gallstone Ileus in the Absence of Biliary Fistula , A.M.A. Arch. Surg. 76:530-535 ( (April) ) 1958.Crossref 17. Bernhard, F.: Die spontanen inneren Gallenfistein und Ihre operative Behandlung , Deutsch. Z. Chir. 242:493, 1934.Crossref 18. Murphy, J. B.: Gallstone Disease and Its Relation to Intestinal Obstruction , Illinois Med. J. 18: 272, 1910. 19. Hand, B. H., and Gilmore, W. E.: Gallstone Ileus: Recurrence in 1 Case , Amer. J. Surg. 59:72, 1943.Crossref 20. Grey-Turner, G.: A Giant Gallstone Impacted in the Colon Causing Acute Obstruction , Brit. J. Surg. 20:26, 1932.Crossref 21. Holm, P., and Linnet-Jepsen, P.: Colon Obstruction Caused by Gallstones , Acta Chir. Scand. 107:31-40, 1954. 22. Lampe, C. E., Obstruction of the Colon by Gallstones: Report of a Case and Analysis of 20 Cases of Gallstone Ileus with Special Reference to Roentgen Diagnosis , Ugeskr. Laeger 119: 121 ( (Jan.) ) 1957. 23. Luzzati, E. F., and Kline, J. R.: Gallstone Obstruction of the Colon , J. Kansas Med. Soc. 62: 268-269 ( (June) ) 1961. 24. Pryor, J. H.: Gallstone Obstruction of the Sigmoid with Particular Reference to Aetiology , Brit. J. Surg. 47:259, 1959.Crossref 25. Figiel, L. S., and Figiel, S. J.: Gallstone Obturation of Duodenal Bulb , Amer. J. Roentgenol. 76:24-31 ( (July) ) 1956. 26. Hinchey, P. R.: Gallstone Ileus , Arch. Surg. 46:9, 1943.Crossref 27. Drucker, V.: Small Intestinal Gallstone Ileus and Use of Barium Sulfate per Os in Its Diagnosis , A.M.A. Arch. Surg. 79:22 ( (July) ) 1959.Crossref 28. Wangensteen, O. H.: Intestinal Obstructions , Ed. 2, Charles C Thomas, Publisher 1947, p. 317. 29. Rigler, L. G.; Borman, C. W., and Noble, J. F.: Gallstone Obstruction: Pathogenesis and Roentgen Manifestations , J.A.M.A. 117:1753, 1941.Crossref 30. Zatskin, H. R.; Tugendhaft, R. I., and Curran, H. P.: Roentgen Diagnosis of Spontaneous Internal Biliary Fistulas and Gallstone Ileus , Surg. Gynec. Obstet. 102:234-238 ( (Feb.) ) 1956. 31. Fiddian, R. V.: Gallstone Ileus: Recurrences and Multiple Stones , Postgrad. Med. J. 35:673-676 ( (Dec.) ) 1959.Crossref 32. Fraser, W. J.: Intestinal Obstruction by Gallstones , Brit. J. Surg. 142:210, 1954.Crossref 33. Buetow, G.: Unpublished data. 34. Levowitz, S.: Spontaneous Internal Biliary Fistula , Amer. Surg. 154:241, 1961.

Journal

Archives of SurgeryAmerican Medical Association

Published: Mar 1, 1963

References