Gallstone ileus

Case contributed by Dr Pawel Piotrowicz

Presentation

91 female patient was admitted to hospital due to vomiting and inability of food intake, abdominal pain and significant deterioration of general condition.

Patient Data

Age: 91
Gender: Female
Modality: X-ray

No signs of gastro-intestinal tract obstruction or perforation. Spherical calcification in the middle abdomen on the right.

Modality: CT

Significant retention of the contents in the stomach, a spherical calcification in the lumen of descending duodenum, thickening of adjacent duodenal wall with blurred outlines, gallbladder directly adhesive with thickened wall and filled with gallstones, and increased density of surrounding fat tissue.

Case Discussion

This is a typical case of gallstone ileus with Rigler triad, although the level of obstruction is very proximal.

Credit: Dr Agnieszka Wyrowinska

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Case Information

rID: 46870
Case created: 21st Jul 2016
Last edited: 30th Jul 2016
Inclusion in quiz mode: Included

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