Case report of endoscopic treatment of sigmoid gallstone ileus

Gallstone disease affects more than 6 % of the global population. Initially, it often presents asymptomatically, but the risk of complications increases over time. One rare complication of gallstone disease is intestinal obstruction caused by the blockage of the intestinal lumen, also referred to i...

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Main Authors: I Molnar, T Shynkaryk, E Prykhodko, V Perepadya
Format: Article
Language:Russian
Published: Interdisciplinary Academy of Pain Medicine 2025-01-01
Series:Perioperative Medicine
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Online Access:https://perioperative.org.ua/index.php/prtmdc/article/view/130
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author I Molnar
T Shynkaryk
E Prykhodko
V Perepadya
author_facet I Molnar
T Shynkaryk
E Prykhodko
V Perepadya
author_sort I Molnar
collection DOAJ
description Gallstone disease affects more than 6 % of the global population. Initially, it often presents asymptomatically, but the risk of complications increases over time. One rare complication of gallstone disease is intestinal obstruction caused by the blockage of the intestinal lumen, also referred to in foreign literature as “gallstone ileus”. According to international sources on Pubmed, Google Scholar, and Web Of Science, the frequency of “gallstone ileus” is 0.5 % of all gastrointestinal complications. We present a clinical case of a patient with clinical and diagnostic evidence of intestinal obstruction. Patient V., aged 86, was diagnosed with CT signs of a sigmoid neoplasm and a polyp in the cecum, along with intestinal obstruction during an outpatient examination. The patient was referred for intraintestinal stenting. During an attempt to perform a video colonoscopy, multiple diverticula with signs of diverticulitis and narrowing of the lumen of the sigmoid colon were observed in the distal parts of the sigmoid colon. A black foreign body (stone) was found in the area of narrowing. After displacing the stone, a flow of liquid stool was obtained, and 2.5 liters of liquid stool were aspirated. The foreign body was captured using a 4.5 cm Retrieval Net and, with difficulty, removed in the area of narrowing. Following this, a control video colonoscopy showed that the patency of the sigmoid colon was restored.
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institution Kabale University
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2617-2925
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spelling doaj-art-2c4d6e5f3aca45e99ec8bbf98315f61f2025-01-07T18:47:41ZrusInterdisciplinary Academy of Pain MedicinePerioperative Medicine2616-339X2617-29252025-01-017210.31636/prmd.v7i2.5Case report of endoscopic treatment of sigmoid gallstone ileusI Molnar0T Shynkaryk1E Prykhodko2V Perepadya3Kyiv City Clinical Hospital No. 3Kyiv City Clinical Hospital No. 3Kyiv City Clinical Hospital No. 3Bogomolets National Medical University Gallstone disease affects more than 6 % of the global population. Initially, it often presents asymptomatically, but the risk of complications increases over time. One rare complication of gallstone disease is intestinal obstruction caused by the blockage of the intestinal lumen, also referred to in foreign literature as “gallstone ileus”. According to international sources on Pubmed, Google Scholar, and Web Of Science, the frequency of “gallstone ileus” is 0.5 % of all gastrointestinal complications. We present a clinical case of a patient with clinical and diagnostic evidence of intestinal obstruction. Patient V., aged 86, was diagnosed with CT signs of a sigmoid neoplasm and a polyp in the cecum, along with intestinal obstruction during an outpatient examination. The patient was referred for intraintestinal stenting. During an attempt to perform a video colonoscopy, multiple diverticula with signs of diverticulitis and narrowing of the lumen of the sigmoid colon were observed in the distal parts of the sigmoid colon. A black foreign body (stone) was found in the area of narrowing. After displacing the stone, a flow of liquid stool was obtained, and 2.5 liters of liquid stool were aspirated. The foreign body was captured using a 4.5 cm Retrieval Net and, with difficulty, removed in the area of narrowing. Following this, a control video colonoscopy showed that the patency of the sigmoid colon was restored. https://perioperative.org.ua/index.php/prtmdc/article/view/130gallstone diseaseintussusceptioncolonoscopygallstone ileusendoscopic treatment
spellingShingle I Molnar
T Shynkaryk
E Prykhodko
V Perepadya
Case report of endoscopic treatment of sigmoid gallstone ileus
Perioperative Medicine
gallstone disease
intussusception
colonoscopy
gallstone ileus
endoscopic treatment
title Case report of endoscopic treatment of sigmoid gallstone ileus
title_full Case report of endoscopic treatment of sigmoid gallstone ileus
title_fullStr Case report of endoscopic treatment of sigmoid gallstone ileus
title_full_unstemmed Case report of endoscopic treatment of sigmoid gallstone ileus
title_short Case report of endoscopic treatment of sigmoid gallstone ileus
title_sort case report of endoscopic treatment of sigmoid gallstone ileus
topic gallstone disease
intussusception
colonoscopy
gallstone ileus
endoscopic treatment
url https://perioperative.org.ua/index.php/prtmdc/article/view/130
work_keys_str_mv AT imolnar casereportofendoscopictreatmentofsigmoidgallstoneileus
AT tshynkaryk casereportofendoscopictreatmentofsigmoidgallstoneileus
AT eprykhodko casereportofendoscopictreatmentofsigmoidgallstoneileus
AT vperepadya casereportofendoscopictreatmentofsigmoidgallstoneileus