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
Modality: X-ray

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

Modality: Ultrasound

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

Modality: 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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