Author/Authors :
Singal, Rikki Department of Surgery - Maharishi Markandeshwer Institute of Medical Sciences and Research, Mullana, Distt-Ambala, Haryana, India , Gupta, Parveen Department of Medicine - Maharishi Markandeshwer Institute of Medical Sciences and Research - Mullana, Distt-Ambala, Haryana, India , Dwivedi, Sankalp Department of Surgery - Maharishi Markandeshwer Institute of Medical Sciences and Research, Mullana, Distt-Ambala, Haryana, India , Mittal, Amit Department of Radiodiagnosis - Maharishi Markandeshwer Institute of Medical Sciences and Research, Mullana, Distt-Ambala, Haryana, India , Kohli, Sudha Department of Anesthesia - Maharishi Markandeshwar Institute of Medical Sciences and Research, Mullana, Distt- Ambala, Haryana, India , Gupta, Samita Department of Radiodiagnosis - Maharishi Markandeshwer Institute of Medical Sciences and Research, Mullana, Distt-Ambala, Haryana, India
Abstract :
Background: Gallstone ileus is an uncommon complication of gall stones associated with potentially serious morbidity and mortality.
Case Report: We reported a 60-year-old male case who presented with renal failure and pain in right hypochondriac region. He
also had a history of brain infarcts along with diabetes which is an additional factor for mortality. On Computed Tomography of the
abdomen, he was diagnosed to have cholecystocholedochal fistula including air in the gall bladder and obstruction in the distal part
of the ileum. Computed tomography plays an important role to make the proper diagnosis and in treatment. Conclusions: As in our
case, diagnosis was challengeable because of renal failure,diabetes, septicaemia and intestinal obstruction (peritonitis). We did surgery
on the basis of peritonitis which remains the only choice in such cases. . In follow- up of 1 month patient was doing well and
asymptomatic.
Keywords :
Obstruction , Stone , Pneumobilia , Renal Failure , Surgery
