Presentation
Patient with abdominal pain and vomiting.
Patient Data
Age: 70 years
Gender: Female
From the case:
Gallstone ileus
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X-ray shows Rigler triad: pneumobilia, small bowel obstruction and ectopic gallstone (projected laterally and to the right of L4-L5).
Patient with suspected biliary ileus, CT was performed to confirm the diagnosis.
From the case:
Gallstone ileus
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CT shows Rigler triad
From the case:
Gallstone ileus
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CT performed 3 years before shows the gallstone within the gallbladder.
From the case:
Gallstone ileus
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X-ray shows Rigler triad: pneumobilia, small bowel obstruction and ectopic gallstone.
Case Discussion
The patient was operated and the diagnosis of gallstone ileus was confirmed. This case shows Rigler triad, which is uncommon but if it is present the diagnosis is almost certain.
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