Jacobs Journal of Clinical Case Reports

Meckel’s gallstone ileus

Published on: 2016-10-20

Abstract

A 72-year-old male presented in our clinic with jaundice, dark urine, steatorrhea and unexplained weight loss. The patient had a medical history of ischaemic stroke, a melanoma and was known to have cholecystolithiasis. A computed tomography (CT) of the abdomen was performed, which showed aerobillia, distended small bowels and a gallstone impacted in the ileum. At surgery a gallstone was impacted in the ileum, at the neck of a Meckels diverticulum. The stone was removed and the patient had a good recovery. The impaction of a gallstone at the neck of a Meckels diverticulum is rare.

Keywords

Gallstone; Ileus; Computed tomography; Meckels divertiulum