Publication Name	World Journal of Hepatology
Manuscript ID	126350
DOI	10.4254/wjh.126350
Country	China

Category	Gastroenterology & Hepatology
Manuscript Type	Case Report
Article Title	Gallstone ileus with transient pancreatic enzyme elevation: A case report and review of literature
Manuscript Source	Unsolicited Manuscript
All Author List	Xiao-Mao Gao, Yun-Fei Zhi, Ji Li, Hong Yang, Zuo-Yan Wu and Hui Xu
Funding Agency and Grant Number
Corresponding Author	Hui Xu, MD, Department of Gastroenterology, Peking Union Medical College Hospital, Peking Union Medical College and Chinese Academy of Medical Science, No. 1 Shuaifu Road, Dongcheng District, Beijing 100730, China. xuhui10799@pumch.cn
Key Words	Cholecystoenteric fistula; Gallstone ileus; Pancreatic enzyme elevation; Diagnostic pitfall; Rigler triad; Case report
Core Tip	This case report highlights a diagnostic pitfall: transient pancreatic enzyme elevation due to a cholecystoduodenal fistula with gallstone ileus, mimicking acute pancreatitis at presentation. The enzymes fell by more than 97% within 24 hours and computed tomography showed no pancreatitis; these findings do not exclude a mild concurrent pancreatitis, but they should not obscure the imaging evidence of mechanical obstruction. Heightened awareness, combined with a rigorous differential diagnostic approach, may prevent delays in definitive surgical management.
Citation	Gao XM, Zhi YF, Li J, Yang H, Wu ZY, Xu H. Gallstone ileus with transient pancreatic enzyme elevation: A case report and review of literature. World J Hepatol 2026; In press DOI: https://doi.org/10.4254/wjh.126350
PDF	126350-in-press.pdf

Received	2026-08-03 08:19
Peer-Review Started	2026-08-05 05:48
First Decision by Editorial Office Director
Return for Revision	2026-08-27 05:44
Revised	2026-09-09 05:19
Publication Fee Transferred
Second Decision by Editor	2026-11-05 03:30
Second Decision by Editor-in-Chief
Final Decision by Editorial Office Director	2026-11-05 08:40
Articles in Press	2026-11-05 08:40
Edit the Manuscript by Language Editor
Typeset the Manuscript

ISSN	1948-5182 (online)
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