Gallstone Ileus in the Absence of Gallbladder, Rare Etiology of Bowel Obstruction: A Case Report and Literature Review

Review Data

Q: Is the topic relevant to the journal area of interest? Is it contemporary and interesting for researchers?

A: Very Good

Abstract & Keywords

Q: Are all required components included in the abstract? Are the keywords appropriately chosen?

A: Excellent

Goal

Q: Is the goal explicitly stated in the Introduction? Is its formulation clear and unambiguous?

A: Very Good

Structure

Q: Is the paper's structure coherent? Is it in coherence with the goal of the paper?

A: Excellent

Tools and Methods

Q: Are methods the author uses adequate and well used?

A: Very Good

Discussion & Conclusion

Q: Is it related to the results presented before? Do you consider them as coherent?

A: Very Good

Comments:

The Discussion states that gallstone ileus (GSI) is a rare etiology of mechanical intestinal obstruction and its formation post-cholecystectomy is even rarer. The case report findings have been discussed in light of current literature. The Discussion establishes that the CT scan is the most reliable method for diagnosis of this condition. Surgical interventions used to treat this condition have been discussed. The Conclusion states that, despite its rarity, GSI post-cholecystectomy should be considered in elderly patients with unusual abdominal pain and other vague non-specific symptoms. As few cases of GSI post-cholecystectomy have been reported in literature, recording such cases is crucial.

Literature

Q: Does the author utilize relevant literature?

A: Very Good

Author's knowledge

Q: What is the level of author’s knowledge? Does the author utilize all recent contributions relevant to the topic?

A: Very Good

Length

Q: Is the length of the paper adequate to the significance of the topic? Do you suggest shortening the paper without losing its value?

A: Very Good

Figures & Tables

Q: Does the author use them suitably? Are legend and notations clear?

A: Very Good

Writing style

Q: Is it clear and understandable?

A: Good

Further comments on the paper

Comments:

The report presents the rare case of gallstone ileus (GSI) post-cholecystectomy in a 92-year-old female patient who presented with an acute confusional state, vomiting, and generalized abdominal pain. She was previously cholecystomized with no evidence of fistula. Based on abdominal CT findings, the patient was diagnosed with GSI post-cholecystectomy. Enterolithotomy alone was the surgical approach used for GSI extraction in the reported case. The postoperative period was uneventful. Only a few cases of GSI after cholecystectomy have been reported in literature. Elderly women with a prolonged history of comorbidities are usually affected by this condition. GSI usually has non-specific clinical manifestations. Mortality caused by this condition is associated with comorbidities and delayed presentation. Therefore, early diagnosis and timely surgical intervention are essential for improved prognosis.

Q: Would you recommend this manuscript for further publication?

A: Yes - Suitable to be published

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Science Repository Team