Clinical features
The clinical presentation of gallstone ileus is frequently nonspecific with intermittent symptoms of nausea, vomiting, abdominal distension, and pain.
It typically presents as an unexplained gradual onset of small bowel obstruction. Rarely, the stone may traverse the small bowel and obstruct the large bowel. In both, pain, distension, constipation and vomiting are present to varying degrees. Additionally, a mass may be felt in the right upper quadrant.
Note that obvious distension is rare when obstruction occurs in the duodenum or jejunum.
Reference
- Shekhda KM, Abro AH, Gupta A, et al; Gallstone Ileus. Chonnam Med J. 2021 Jan;57(1):91-92.
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