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Clinical—An 87-year-old woman presented with symptoms of generalised colicky abdominal pain with associated constipation and vomiting of 3-days duration. She had no previous abdominal surgery. Abdominal examination revealed a distended, tympanic abdomen that was diffusely tender, maximally over the left iliac fossa. Bowel sounds were reduced on auscultation. She was initially investigated with plain film radiology (Figure 1) and then with computerised tomography (CT; Figure 2). Laparotomy findings are shown in Figure 3. Figure 1. Plain film radiology Figure 2. Computerised tomography Figure 3. Intraoperative view of colotomy What is the diagnosis? Answer

Summary

Abstract

Aim

Method

Results

Conclusion

Author Information

Magdalena M Sakowska, Philip Bagshaw, Tim Eglinton; Department of Surgery, Christchurch Hospital, Christchurch, New Zealand

Acknowledgements

Correspondence

Dr Magda Sakowska, Department of Surgery, Christchurch Hospital, Private Bag 4710, Christchurch, New Zealand. Fax: +64 (0)3 3640352

Correspondence Email

magda.sakowska@cdhb.govt.nz

Competing Interests

Martin F. Intestinal obstruction due to gallstones. Annals of Surgery. 1912;55:725.Reisner R, Cohen J. Gallstone ileus: a review of 1001 reported cases. Am Surg. 1994;60(6):441-446.Anagnostopoulos GK, Sakorafas G, Kolettis T, et al. A case of gallstone ileus with an unusual impaction site and spontaneous evacuation. J Postgrad Med. 2004;50(1):55-56.Rigler L, Borman C, Noble J. Gallstone obstruction: pathogenesis and roentgen manifestations. JAMA. 1941;117:1753-1759.Ayantunde AA, Agrawal A. Gallstone ileus: diagnosis and management. World J Surg. 2007;31(6):1292-1297.G 00e1l I, Sz 00edv 00f3s J, Jaberansari M, Szab 00f3 Z. Laparoscopic cholecystectomy. Risk of missed pathology of other organs. Surg Endosc. 1998;12(6):825-827.Milsom J, MacKeigan J. Gallstone obstruction of the colon. Report of two cases and review of management. Dis. Colon Rectum. 1985;28(5):367-370.Kirchmayr W, M 00fchlmann G, Zitt M, et al. Gallstone ileus: rare and still controversial. ANZ J Surg. 2005;75(4):234-238.

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Clinical—An 87-year-old woman presented with symptoms of generalised colicky abdominal pain with associated constipation and vomiting of 3-days duration. She had no previous abdominal surgery. Abdominal examination revealed a distended, tympanic abdomen that was diffusely tender, maximally over the left iliac fossa. Bowel sounds were reduced on auscultation. She was initially investigated with plain film radiology (Figure 1) and then with computerised tomography (CT; Figure 2). Laparotomy findings are shown in Figure 3. Figure 1. Plain film radiology Figure 2. Computerised tomography Figure 3. Intraoperative view of colotomy What is the diagnosis? Answer

Summary

Abstract

Aim

Method

Results

Conclusion

Author Information

Magdalena M Sakowska, Philip Bagshaw, Tim Eglinton; Department of Surgery, Christchurch Hospital, Christchurch, New Zealand

Acknowledgements

Correspondence

Dr Magda Sakowska, Department of Surgery, Christchurch Hospital, Private Bag 4710, Christchurch, New Zealand. Fax: +64 (0)3 3640352

Correspondence Email

magda.sakowska@cdhb.govt.nz

Competing Interests

Martin F. Intestinal obstruction due to gallstones. Annals of Surgery. 1912;55:725.Reisner R, Cohen J. Gallstone ileus: a review of 1001 reported cases. Am Surg. 1994;60(6):441-446.Anagnostopoulos GK, Sakorafas G, Kolettis T, et al. A case of gallstone ileus with an unusual impaction site and spontaneous evacuation. J Postgrad Med. 2004;50(1):55-56.Rigler L, Borman C, Noble J. Gallstone obstruction: pathogenesis and roentgen manifestations. JAMA. 1941;117:1753-1759.Ayantunde AA, Agrawal A. Gallstone ileus: diagnosis and management. World J Surg. 2007;31(6):1292-1297.G 00e1l I, Sz 00edv 00f3s J, Jaberansari M, Szab 00f3 Z. Laparoscopic cholecystectomy. Risk of missed pathology of other organs. Surg Endosc. 1998;12(6):825-827.Milsom J, MacKeigan J. Gallstone obstruction of the colon. Report of two cases and review of management. Dis. Colon Rectum. 1985;28(5):367-370.Kirchmayr W, M 00fchlmann G, Zitt M, et al. Gallstone ileus: rare and still controversial. ANZ J Surg. 2005;75(4):234-238.

For the PDF of this article,
contact nzmj@nzma.org.nz

View Article PDF

Clinical—An 87-year-old woman presented with symptoms of generalised colicky abdominal pain with associated constipation and vomiting of 3-days duration. She had no previous abdominal surgery. Abdominal examination revealed a distended, tympanic abdomen that was diffusely tender, maximally over the left iliac fossa. Bowel sounds were reduced on auscultation. She was initially investigated with plain film radiology (Figure 1) and then with computerised tomography (CT; Figure 2). Laparotomy findings are shown in Figure 3. Figure 1. Plain film radiology Figure 2. Computerised tomography Figure 3. Intraoperative view of colotomy What is the diagnosis? Answer

Summary

Abstract

Aim

Method

Results

Conclusion

Author Information

Magdalena M Sakowska, Philip Bagshaw, Tim Eglinton; Department of Surgery, Christchurch Hospital, Christchurch, New Zealand

Acknowledgements

Correspondence

Dr Magda Sakowska, Department of Surgery, Christchurch Hospital, Private Bag 4710, Christchurch, New Zealand. Fax: +64 (0)3 3640352

Correspondence Email

magda.sakowska@cdhb.govt.nz

Competing Interests

Martin F. Intestinal obstruction due to gallstones. Annals of Surgery. 1912;55:725.Reisner R, Cohen J. Gallstone ileus: a review of 1001 reported cases. Am Surg. 1994;60(6):441-446.Anagnostopoulos GK, Sakorafas G, Kolettis T, et al. A case of gallstone ileus with an unusual impaction site and spontaneous evacuation. J Postgrad Med. 2004;50(1):55-56.Rigler L, Borman C, Noble J. Gallstone obstruction: pathogenesis and roentgen manifestations. JAMA. 1941;117:1753-1759.Ayantunde AA, Agrawal A. Gallstone ileus: diagnosis and management. World J Surg. 2007;31(6):1292-1297.G 00e1l I, Sz 00edv 00f3s J, Jaberansari M, Szab 00f3 Z. Laparoscopic cholecystectomy. Risk of missed pathology of other organs. Surg Endosc. 1998;12(6):825-827.Milsom J, MacKeigan J. Gallstone obstruction of the colon. Report of two cases and review of management. Dis. Colon Rectum. 1985;28(5):367-370.Kirchmayr W, M 00fchlmann G, Zitt M, et al. Gallstone ileus: rare and still controversial. ANZ J Surg. 2005;75(4):234-238.

Contact diana@nzma.org.nz
for the PDF of this article

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