Case Report
Copyright ©The Author(s) 2020. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Cases. May 26, 2020; 8(10): 2023-2027
Published online May 26, 2020. doi: 10.12998/wjcc.v8.i10.2023
Rare recurrent gallstone ileus: A case report
Hao Jiang, Chong Jin, Jing-Gang Mo, Lie-Zhi Wang, Lei Ma, Kun-Peng Wang
Hao Jiang, Chong Jin, Jing-Gang Mo, Lie-Zhi Wang, Lei Ma, Kun-Peng Wang, Department of General Surgery, Taizhou Central Hospital (Taizhou University Hospital), Taizhou 318000, Zhejiang Province, China
Author contributions: Mo JG and Jin C reviewed the literature and contributed to manuscript drafting; Wang LZ and Ma L collected the patient ’s clinical data; Jiang H and Wang KP were responsible for the revision of the manuscript; all authors issued final approval for the version to be submitted.
Supported by Project of Taizhou Science and Technology Department, No. 2017KY711; Project of Taizhou University, No. 2018PY057; and Project of Taizhou Central Hospital, No. 2019KT003.
Informed consent statement: Informed written consent was obtained from the patient for publication of this report and any accompanying images.
Conflict-of-interest statement: The authors declare that they have no conflict of interest.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Corresponding author: Kun-Peng Wang, FRCS (Gen Surg), MD, PhD, Surgeon, Department of General Surgery, Taizhou Central Hospital (Taizhou University Hospital), No. 999, Donghai Avenue, Jiaojiang District, Taizhou 318000, Zhejiang Province, China. wangkp9644@tzzxyy.com
Received: January 27, 2020
Peer-review started: January 27, 2020
First decision: March 5, 2020
Revised: March 25, 2020
Accepted: April 24, 2020
Article in press: April 24, 2020
Published online: May 26, 2020
Core Tip

Core tip: There is no consensus on how to effectively reduce the recurrence rate of recurrent gallstone ileus (GSI). Herein, we present a rare case of recurrent GSI, in order to elucidate and review the pathogenesis, presentation, diagnosis, and consensus recommendations regarding the management of recurrent GSI. This case highlights the importance of a detailed abdominal physical examination and imaging data interpretation before the operation, as well as a systematic and careful search for the existence of other residual stones during the operation on the premise of ensuring safety. Enterolithotomy combined with cholecystectomy or gallbladder lithotomy is an effective strategy for reducing the recurrence of GSI.