Gallstone Ileus Flashcards

1
Q

What is the most common site of small bowel obstruction from gallstone?

A

6-12 cm from the terminal ileum

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2
Q

What is the most common site of large bowel obstruction from cholecystocolonic fistula?

A

sigmoid colon

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3
Q

What is Bouveret syndrome?

A

Gastric outlet obstruction from impaction of large gallstone in duodenum due to cholecystogastric or -duodenal fistula

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4
Q

How is the enteric stone removed operatively?

A

longitudinal enterotomy proximal to area of impaction, milk stone back and remove, then transverse closure in two layers OR resection of necrotic bowel segment

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5
Q

What is the incidence of recurrent gallstone ileus?

A

5%

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