Gallstone ileus

Case contributed by Sherry Wang
Diagnosis certain


Abdominal pain.

Patient Data

Age: 50 years

Percutaneous gastrostomy tube. Pneumobilia. Dilated distal and mid small bowel in keeping with small bowel obstruction. Gallstone demonstrated in the left iliac fossa.

Case Discussion

This case demonstrates Rigler triad of gallstone ileus:

  • small bowel obstruction
  • pneumobilia
  • ectopic gallstone

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