Presentation
Increasing nonspecific abdominal pain over the last 3 days. Constipation. Known chronic cholecystitis and chronic renal insufficiency.
Patient Data
Age: 75 years
Gender: Female
From the case:
Gallstone ileus
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An abdominal radiograph demonstrates air-fluid level within the small bowel.
An intraperitoneal catheter with tip projected at the right upper quadrant.
From the case:
Gallstone ileus
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Because of known renal insufficiency, imaging is without IV contrast.
Small bowel obstruction with visible gallbladder stone about 15 cm proximal to the ileocecal valve and air in the gallbladder.
A small volume of free fluid in the pelvis.
Case Discussion
The diagnosis was verified with an emergency operation.
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