Gallstone ileus
Diagnosis certain
Updates to Case Attributes
Presentation
was changed:
A male patient presented with abdominal pain, vomiting &and absolute constipation.
Updates to Study Attributes
Findings
was changed:
- Non visualised gall bladder with gas densities at gall bladder fossa
&and proximalbillarybiliary tree. - A large dense ectopic gall stone is seen at the right iliac fossa within the distal ileum measuring 3.2 x 2.3 cm in diameters with proximal 8 cm ileal segment mural enhancement seen.
- Subsequent dilatation of the proximal small bowel with multiple air fluid levels seen.
- The liver is mildly enlarged showing homogeneous low CT texture denoting fatty infiltration. No focal lesions or contour irregularities.
- Normal appearance of the spleen, pancreas, kidneys (apart from left cortical renal cyst) aorta, I.V.C and both supra renal glands.
- No pelvic or abdominal lymph node enlargement seen.
- No ascites.
- Clear scanned lung bases.
- Sliding oesophageal hiatal hernia is noted.
- Small right inguinal omentum containing hernia.
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