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
2
Q
What is the most common site of large bowel obstruction from cholecystocolonic fistula?
A
sigmoid colon
3
Q
What is Bouveret syndrome?
A
Gastric outlet obstruction from impaction of large gallstone in duodenum due to cholecystogastric or -duodenal fistula
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
5
Q
What is the incidence of recurrent gallstone ileus?
A
5%