Presentation
RUQ pain and vomiting.
Patient Data
Age: 80 years
Gender: Female
From the case:
Gallstone ileus
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Extensive pneumobilia. Distended intrahepatic biliary tree and CBD which measures up to 16.5 mm.
Contracted thick-walled air-filled gallbladder which fistulates with the 2nd part of the duodenum.
Gallstone in the small bowel with proximal dilatation up to 4 cm. The distal small bowel is collapsed.
Large hiatus hernia. Duodenal diverticulum. Colon diverticulosis.
Small volume of free fluid in the small bowel mesentery. The large bowel is contracted.
Bilateral renal cortical thinning and scarring.
Small volume calcified plaque. Degenerative changes of the lower thoracic and lumbar spine
Case Discussion
Gallstone ileus with a well illustrated cholecystoduodenal fistula.
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