Gallstone ileus

Case contributed by A.Prof Frank Gaillard
X-ray

Dilated small bowel loops with multiple air-fluid levels consistent with obstruction. A lamelated ovoid calcified density is projected over the lower abdomen in combination with branching air seen in the expected location of the biliary tree (pneumobilia). This combination of findings constitutes the Rigler's triad of gallstone ileus. 

Case Discussion

Gallstone ileus with Rigler's triad.

AXR obtained months earlier the gall stone can be seen to be in the RUQ.

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Case information

rID: 6906
Case created: 26th Aug 2009
Last edited: 5th Dec 2015
Inclusion in quiz mode: Included

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