Presentation
Abdominal pain and vomiting.
Patient Data
Age: 80 years
Gender: Female
From the case:
Gallstone ileus
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Multiple dilated small bowel loops showing multiple air-fluid levels, down to a transition point at the pelvic ileal bowel loop showing large intraluminal faintly radiodense stone, the distal bowel loops are collapsed distal to the stone.
Pneumobilia is noted (Gas within the common bile duct)
From the case:
Gallstone ileus
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Info
Rigler triad consists of three findings seen in gallstone ileus:
- pneumobilia
- small bowel obstruction
- gallstone, usually in the right iliac fossa
Case Discussion
Care must be taken in finding the gallstone, as only a minority (12.5%) are calcified, and density may be very similar to bowel content !!!
Rigler triad consists of three findings seen in gallstone ileus:
- pneumobilia
- small bowel obstruction
- gallstone, usually in the right iliac fossa