Gallstone ileus

Case contributed by Dr David Clemo Steel

Presentation

Abdominal pain and vomiting. No history of gallbladder surgery.

Patient Data

Age: 90 years
Gender: Male
X-ray

Moderate widened small bowel. No gallstone visible. Gas in the biliary tree is hard to visualize. 

Ultrasound

Gallbladder not visible. Moderate dilated small bowel, with endoluminal echogenic image with intense posterior shadow that suggests gallstone ileus.

CT

Not believing  the radiologist, the surgeon asks for the CT anyway, which confirms the diagnosis of gallstone ileus.

Case Discussion

This is a classic example of a classic diagnosis, a favourite of radiology exams. 

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Case information

rID: 48746
Case created: 21st Oct 2016
Last edited: 27th Oct 2016
Inclusion in quiz mode: Included

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