Özet:

Gallstone ileus is a rare complication of cholelithiasis. It usually develops when stones in the gallbladder or biliary tract are fistulize into the gastrointestinal tract. Gallstone ileus is more common in women, and its incidence increases with age. The clinical symptoms and signs of gallstone ileus vary according to the place where the stone obstructs. Signs of intestinal obstruction such as nausea, vomiting,constipation, obstipation, aperistalsis, and abdominal distension are common. Contrast-enhanced computed tomography is the gold standard imaging method in the diagnosis. The treatment algorithm of gallstone ileus is controversial. In general, there are publications recommending simple enterotomy, one-stage surgery, and two-stage surgery. Patient’s age and comorbidities, fluid electrolyte imbalance, and segment of obstruction are considered for determining operative management. In our case, the diagnosis and treatment algorithm of the patient who applied to the Cerrahpaşa School of Medicine Emergency Clinic with ileus findings and was found to have gallstone ileus as a result of the examinations are presented.

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