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CASE REPORT
Year : 2016  |  Volume : 21  |  Issue : 1  |  Page : 80

An intriguing case of gallstone ileus after hepaticojejunostomy caused by a "stone on a suture"


Department of Abdominal Surgery, Vladimir City Clinical Hospital of Emergency Medicine, Vladimir

Correspondence Address:
Mahir Gachabayov
Department of Abdominal Surgery, Vladimir City Clinical Hospital of Emergency Medicine, 600022, Stavrovskaya Street, 6-73, Vladimir

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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/1735-1995.189697

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Gallstone ileus (GI) is a mechanical obstruction of small or large bowel caused by gallstone passed to the intestinal lumen through spontaneous or postoperative biliodigestive fistula. A 42-year-old female patient was admitted with the clinical presentation of small bowel obstruction. She underwent hepaticojejunostomy 4 years prior to admission for primary sclerosing cholangitis. Barium meal follows through revealed Rigler's triad. The patient underwent laparotomy which revealed GI. A "stone on a suture" was removed through enterotomy. Patients after cholecystectomy and hepaticojejunostomy can develop GI. Nonabsorbable suture used to create biliodigestive anastomosis can appear to become the frame of a "stone on a suture."


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