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CASE REPORT
Year : 2011  |  Volume : 3  |  Issue : 6  |  Page : 218-222

Spontaneous relief of mechanical bowel obstruction in gallstone ileus


Department of General Surgery, Aljala University Hospital, Gar Younis University, Benghazi, Libya

Correspondence Address:
Salah Mansor
Department of General Surgery, Aljala University Hospital, Gar Younis University, Benghazi
Libya
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/1947-489X.210899

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We report the case of a 60-year-old female Libyan patient who presented with a three day history of vomiting, colicky abdominal pain, and constipation. She was dehydrated, tachycardiac, with a distended, tender abdomen and exaggerated bowel sounds. She had leucocytosis and an increased blood urea nitrogen level. Plain abdominal x-ray films showed dilated small bowel loops and pneumobilia. Ultrasound and computed tomography (CT) examinations confirmed the diagnosis of gallstone ileus. The obstruction was spontaneously relieved by passing the stone into the cecum.


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