Gallstone Ileus with Cholecystogastric Fistula in an Older Female

  • Roger Taylor Emergency Medicine Department, Charleston Area Medical Center, Charleston, WV, USA
  • Nnennaya Opara Emergency Medicine Department, Charleston Area Medical Center, Charleston, WV, USA; Institute for Academic Medicine, Charleston Area Medical Center, Charleston, WV, USA https://orcid.org/0000-0002-2761-2424
  • Taylor Simmerman Emergency Medicine Department, Charleston Area Medical Center, Charleston, WV, USA
DOI: https://doi.org/10.12890/2022_003345

Keywords

Peptic ulcer, gallstone ileus, cholecystogastric fistula, intestinal obstruction, Bouveret’s syndrome

Abstract

Cholecystogastric fistulas are a rare but life-threatening complication of cholelithiasis. This medical condition has been explained in detail in several cases in the medical literature. However, there is still conflicting debate on how well to effectively manage patients with such a complex medical condition. We present a 70-year-old Caucasian female with complaints of intermittent dull non-radiating abdominal pain. Her pain started abruptly after breakfast. Patient took some acetaminophen which alleviated her symptom. Several days later, pains return but at this time it was associated with constipation. Patient’s primary care physician (PCP) suspected peptic ulcer disease, which was quickly ruled out following negative result of Helicobacter pylori breath test. The PCP advised patient to visit the emergency department for further investigations to rule out/in possible gallstone ileus causing intestinal obstruction, or Bouveret’s syndrome.

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    • Published: 2022-04-29

    Issue: 2022: Vol 9 No 4 (view)

    Section: Articles

    How to cite:
    1.
    Taylor R, Opara N, Simmerman T. Gallstone Ileus with Cholecystogastric Fistula in an Older Female . EJCRIM 2022;9 doi:10.12890/2022_003345.