Gallstone ileus

Case contributed by Dr Sherry Wang

Presentation

Abdominal pain.

Patient Data

Age: 50
CT

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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Case information

rID: 41097
Case created: 15th Nov 2015
Last edited: 8th Nov 2016
Inclusion in quiz mode: Included

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