Abstract

SAID-DEGERLI, Mahmut et al. How correct is the postponed cholecystectomy during the coronavirus disease-19 pandemic process? Gallstone ileus is not a myth anymore. Cir. cir. [online]. 2021, vol.89, n.3, pp.390-393.  Epub Nov 03, 2021. ISSN 2444-054X.  https://doi.org/10.24875/ciru.21000043.

Postponing elective surgeries during the coronavirus disease-19 (COVID-19) pandemic process increased the risk of severe complications of benign diseases. Gallstone ileus is one of the rare complications of cholelithiasis (0.3-0.5%). Recurrent episodes of acute cholecystitis are involved in pathophysiology. Demonstration of Rigler's triad on computed tomography is diagnostic. To reduce morbidity stepped surgery is recommended: remove the stone by enterotomy at the first operation and biliary surgery at the second operation. Gallstone ileus should be in the differential diagnosis of mechanical intestinal obstructions, especially in patients with a history of cholecystitis attacks during the COVID-19 pandemic process because elective surgeries stopped.

Keywords : Coronavirus disease-19 pandemic; Gallstone ileus; Acute cholecystitis; Postponed cholecystectomy.

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