Presentation
Hospital admission for past 14 days with ultrasound proven calculus cholecystitis. Increasing abdominal distension and now vomiting.
Patient Data
Age: 75 years
Gender: Female
From the case:
Gallstone ileus
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Gallstones.
Faint round calcific density in the right flank.
Dilated gas filled small bowel.
From the case:
Gallstone ileus
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Air in the biliary tree.
Thickened collapsed gallbladder with a fistulous communication to the adjacent duodenum.
Mild-moderate dilated small bowel down to the ileum which contains a large laminated intraluminal gallstone.
From the case:
Gallstone ileus
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Annotations of the features of gallstone ileus - a FULL HOUSE!