Gallstone Ileus Causing Mechanical Bowel Obstruction in a Patient With Caroli's Disease: A Case Report
Year: 2025
Type: article
Study design: Case Report
Abstract: Gallstone ileus is a rare but significant cause of abdominal pain and mechanical bowel obstruction. Its management usually involves minimally invasive surgical intervention. This case report describes a 65-year-old woman with a history of Caroli disease and prior abdominal surgery, who presented with a one-month history of progressive, cramp-like abdominal pain, accompanied by nausea and intermittent vomiting. Due to these persistent symptoms, she underwent a CT scan, which confirmed gallstone ileus with obstruction of a jejunal loop, necessitating surgical removal of the gallstone. This case underscores the importance of integrating a patient's medical history with their presenting symptoms and maintaining a high level of clinical suspicion for rare but serious causes of mechanical bowel obstruction that may otherwise be overlooked.
Source: Cureus
DOI: 10.7759/cureus.93125
Authors: Inês Soares, Ana Sofia Silva, Mariana Batista, Tiago Fernandes
Institution: Unidade Local de Saúde Gaia/Espinho
Language: English
Subfield: Pulmonary and Respiratory Medicine
Field: Medicine
Domain: Health Sciences
Open Access status: diamond
OpenAlex ID: W4414465573