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Third Time Is the Charm

Parsia A. Vagefi, MD; Charles M. Ferguson, MD; Jason F. Hall, MD

Arch Surg. 2008;143(11):1118-1120.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

We report herein the case of a 57-year-old man who presented after the third occurrence of gallstone ileus. The patient underwent successful enterolithotomy, partial cholecystectomy, and repair of choledochoduodenal fistula. Although recurrent gallstone ileus is relatively rare, its occurrence is an indication for definitive management of the biliary-enteric fistula.

REPORT OF A CASE

A 57-year-old man presented to the emergency department with a 1-day history of dull, midline abdominal pain, nausea, and dark brown emesis. He denied fever or chills. His last bowel movement was the morning of presentation, and since then he had not passed any flatus.

His medical history was significant for hypertension and cerebral palsy. Five months prior to presentation he underwent a radical prostatectomy for cancer and was currently undergoing radiation therapy. Nine months prior to presentation he underwent an exploratory laparotomy with enterolithotomy for gallstone ileus at . . . [Full Text of this Article]

COMMENT

AUTHOR INFORMATION
Author Affiliations: Department of Surgery, Massachusetts General Hospital/Harvard Medical School, Boston.

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