Year 2022 / Volume 114 / Number 12
Letter
Endoscopic resolution of intestinal obstruction secondary to colonic gallstone ileus and radicular stenosis of the sigma

746

DOI: 10.17235/reed.2022.8905/2022

Francisco López Romero-Salazar, Elena Gómez Domínguez, Mónica Barreales Valbuena, Pablo Hernán Ocaña,

Abstract
A 93-year-old woman with a history of endometrial adenocarcinoma treated with surgery and pelvic radiotherapy that led to radicular stenosis in the sigma and acute biliary pancreatitis, without subsequent cholecystectomy. She attended the emergency department for abdominal pain, vomiting and abdominal distension, with metallic noises. An abdominal CT scan showed a gallbladder with cholelithiasis, in wide contact with the colonic framework and dilation of the colonic loops with hydro-aerial levels with a partially calcified image embedded in the known sigmoid stenosis, compatible with intestinal obstruction. Given the high surgical risk, colonoscopy was performed, which identified an impassable punctate stricture with a fibrous appearance. Pneumatic dilatation and subsequent removal of gallstones with biopsy forceps was performed, with an adequate evolution. While gallstone ileus is a rare condition that accounts for 5% of episodes of intestinal obstruction, its location in the colon is even rarer. It is usually managed surgically, with a significant impact on morbidity. This case is of interest because of the infrequent occurrence of obstruction secondary to these two concomitant causes and the possible usefulness of endoscopic treatment in patients at high surgical risk.
Share Button
New comment
Comments
No comments for this article
References
1. Inukai K. Gallstone ileus: a review. BMJ Open Gastroenterology. 2019;6(1):e000344. doi: 10.1136/bmjgast-2019-000344.
2. Da Cunha T, Sharma B, Goldenberg S. Colonic Gallstone Ileus: Treatment Challenges. Cureus. 2021. doi: 10.7759/cureus.19869
Related articles

Letter

An uncommon cause of intestinal obstruction: Vanek’s tumor

DOI: 10.17235/reed.2023.9914/2023

Letter

Intestinal obstruction due to pneumatosis intestinalis

DOI: 10.17235/reed.2023.9608/2023

Digestive Diseases Image

Iatrogenic Small Intestinal Obstruction

DOI: 10.17235/reed.2022.9225/2022

Digestive Diseases Image

Abdominal cocoon sign: an unusual cause of intestinal obstruction

DOI: 10.17235/reed.2021.8057/2021

Letter

Adenocarcinoma of the small intestine in Crohn's disease

DOI: 10.17235/reed.2021.8050/2021

Letter

Intestinal obstruction caused by Anisakis

DOI: 10.17235/reed.2020.7409/2020

Digestive Diseases Image

An unusual enterolith ileus

Case Report

Jejunal pseudodiverticulosis. Three cases report

DOI: 10.17235/reed.2017.4403/2016

Letter to the Editor

Intestinal endometriosis. Our experience

DOI: 10.17235/reed.2016.4292/2016

Citation tools
López Romero-Salazar F, Gómez Domínguez E, Barreales Valbuena M, Hernán Ocaña P. Endoscopic resolution of intestinal obstruction secondary to colonic gallstone ileus and radicular stenosis of the sigma . 8905/2022


Download to a citation manager

Download the citation for this article by clicking on one of the following citation managers:

Metrics
This article has received 1280 visits.
This article has been downloaded 65 times.

Statistics from Dimensions


Statistics from Plum Analytics

Publication history

Received: 04/05/2022

Accepted: 06/05/2022

Online First: 24/05/2022

Published: 12/12/2022

Article Online First time: 20 days

Article editing time: 222 days


Share
This article hasn't been rated yet.
Reader rating:
Valora este artículo:




Asociación Española de Ecografía Digestiva Sociedad Española de Endoscopia Digestiva Sociedad Española de Patología Digestiva
The Spanish Journal of Gastroenterology is the official organ of the Sociedad Española de Patología Digestiva, the Sociedad Española de Endoscopia Digestiva and the Asociación Española de Ecografía Digestiva
Cookie policy Privacy Policy Legal Notice © Copyright 2023 y Creative Commons. The Spanish Journal of Gastroenterology