頁籤選單縮合
題名 | Gallstone Ileus: A Disease Easily Ignored in the Elderly= |
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作者 | Chang, Chen-wang; Shih, Shou-chuan; Lin, Shee-chan; Chu, Cheng-hsin; Wang, Tsang-en; Chang, Wen-hsiung; |
期刊 | International Journal of Gerontology |
出版日期 | 20080300 |
卷期 | 2:1 2008.03[民97.03] |
頁次 | 頁18-21 |
分類號 | 417.824 |
語文 | eng |
關鍵詞 | Elderly; Gallstone; Ileus; |
英文摘要 | Gallstone ileus is an uncommon cause of small bowel obstruction, accounting for only 1-4% of all intestinal obstructions. In patients with cholelithiasis, only 0.3-0.5% reportedly develop gallstone ileus. However, the condition causes 25% of cases of non-strangulated small bowel obstruction in those over the age of 65 years. We report a patient with gallstone ileus who presented with small bowel obstruction that was initially misdiagnosed. The correct diagnosis was made based on finding an ectopic gallstone on plain abdominal radiography, a cholecystoduodenal fistula, and gallstone impaction in a small bowel follow-through study. |
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