Gallstone ileus as a complication of cholelithiasis: review of a clinical case

Alberto Navarrete Peón; Carlos Cázares Robles; Brian Hernández González; Uriel Moreno Badillo

doi:10.29057/mjmr.v13i26.14248

Authors

Alberto Navarrete Peón Universidad Autónoma del Estado de Hidalgo, México. https://orcid.org/0000-0001-6951-2248
Carlos Cázares Robles Universidad Autónoma del Estado de Hidalgo, México. https://orcid.org/0009-0001-4071-0686
Brian Hernández González Universidad Autónoma del Estado de Hidalgo, México. https://orcid.org/0009-0009-8471-1478
Uriel Moreno Badillo Sociedad Española de Beneficencia, Pachuca, México. https://orcid.org/0009-0001-1596-5329

DOI:

https://doi.org/10.29057/mjmr.v13i26.14248

Keywords:

Gallstone ileus, gallstone, fistula, Rigler's triad

Abstract

Gallstone ileus is an obstructive pathology at the intestinal level, secondary to the presence of a gallstone in the intestinal lumen as a complication of cholelithiasis. It occurs when a gallbladder stone migrates through a bilioenteric fistula, with the ileum being the most common site of stone impaction. Gallstone ileus has a clinically insidious presentation, in addition to non-specific data through complementary examinations, which makes timely diagnosis difficult. Imaging studies play an important role in the identification of this pathology, with Rigler's triad being a pathognomonic radiological finding of gallstone ileus. Hereby we present a clinical case of this pathology in a 50-years old male patient, along with CT-scans showing the Rigler’s triad, laboratory exams and complete clinical assessment, as a means to show the presentation of such an uncommon pathology.

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