台灣外科醫學會雜誌

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	第58卷第2期 2025-3 Predatory publisher and low standard journal: An emerging problem in clinical surgery field
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	第58卷第2期 2025-3 Conflict of interest in clinical surgery: Contemporary concern in digital era
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	第58卷第2期 2025-3 Supra-sternal reconstruction for a high-hanging fruit like right subclavian artery aneurysm
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	第58卷第2期 2025-3 Operations for choledochal cysts: A 25-year experience at a tertiary care center in India
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	第58卷第2期 2025-3 A case report: Can a titanised polypropylene mesh (TiMesh) obviate a dual mesh for sandwich technique for parastomal hernias?
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	第58卷第2期 2025-3 Recurrent gallstone ileus, a deadly encounter: A case report
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	第58卷第2期 2025-3 The changes in dietary intake and tolerance for Chinese food after bariatric surgery in Taiwan
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	第58卷第2期 2025-3 Diagnostic value of trans-recto-perineal ultrasound in perianal fistula—preoperative versus intraoperative findings: A comparative cross-section study
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	第58卷第2期 2025-3 Efficacy and safety of extended-release dinalbuphine sebacate for postoperative analgesia: A systematic review and meta-analysis
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	第58卷第2期 2025-3 Dynamic changes in segmented neutrophil-to-monocyte ratio in trauma patients with stress-induced hyperglycemia: A retrospective study
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	第58卷第1期 2025-1 Ensuring authorship qualification in clinical research articles: A focus on surgical therapy studies
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	第58卷第1期 2025-1 Estimated risk for transfusion of monkeypox contaminated perioperative blood transfusion: A call to action for stronger regulations and testing protocols
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	第58卷第1期 2025-1 Insights into traumatic and crisis surgery: Implications of data analysis in conflict zones
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	第58卷第1期 2025-1 Tongue peeling as an adverse reaction with use of micronized purified flavonoid: A case report
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	第58卷第1期 2025-1 Pilonidal sinus of scrotum: A rare clinical entity
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	第58卷第1期 2025-1 Incidental autopsy finding of retiform hemangioendothelioma of the spleen
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	第58卷第1期 2025-1 Retroperitoneal laparoscopy for hydronephrosis due to multiple fibroepithelial polyps: A case series
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篇名	Recurrent gallstone ileus, a deadly encounter: A case report
作者	Xin Zen Ong, Ikhwan Sani Mohamad, Umasangar Ramasamy, Mohd Shahrulsalam Mohd Shah
卷期/出版年月	58卷2期 (2025/3)
頁次	74-76
摘要	Gallstone disease is rampant due to global shift towards an unhealthy lifestyle. Gallstone ileus is a rare occurrence, accounting for 1%–4% of all cases of mechanical small bowel obstructions. Computed tomography (CT) scan is a good preliminary diagnostic tool to assess patient suspicious of gallstone ileus. Incidence of recurrent gallstone ileus is as high as 20%and poses a diagnostic dilemma in the immediate postoperative week. Despite advancement in modern medicine, surgical intervention for gallstone ileus is associated with high mortality rate. This could be attributed by the elderly patient cohort with multiple comorbidities.
關鍵詞	Case report; Gallstones; Ileus; Intestinal fistula; Jaundice; Hyperbilirubinemia
分類	Case Report