Gallstone ileus
Diagnosis certain
Updates to Case Attributes
Status
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Age
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Body
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The patient went to OTfor surgery and a large stone was extracted from the dilated obstructed jejunum, the bowel was viable.
The case shows the classical findings of Rigler `s's triad.
-<p>The patient went to OT and a large stone was extracted from the dilated obstructed jejunum, the bowel was viable.</p><p>The case shows the classical findings of <a title="Rigler `s triad" href="/articles/rigler-s-triad">Rigler `s triad</a>.</p>- +<p>The patient went for surgery and a large stone was extracted from the dilated obstructed jejunum, the bowel was viable.</p><p>The case shows the classical findings of <a title="Rigler's triad" href="/articles/rigler-triad-gallstone-ileus">Rigler's triad</a>.</p>
References changed:
- Nuño-Guzmán, Carlos M et al. “Gallstone ileus, clinical presentation, diagnostic and treatment approach.” World journal of gastrointestinal surgery vol. 8,1 (2016): 65-76. doi:10.4240/wjgs.v8.i1.65
- Chang, Liisa et al. “Clinical and radiological diagnosis of gallstone ileus: a mini review.” Emergency radiology vol. 25,2 (2018): 189-196. doi:10.1007/s10140-017-1568-5
Updates to Study Attributes
Findings
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Dilated fluid-filled stomach, duodenum and jejunal loops ( maximum(maximum diameter about 4 cm) tilluntil the mid jejunum where a dense laminated structure measures aboutmeasuring approximately 2.5 cm is seen, the distal bowel loops are collapsed.
Pneumobilia in the intra and extrahepatic bile ducts.
Collapsed gall bladder with thickened edematous wall and few tiny air foci noted inside.
Multiple colonic diverticula are noted with no significant inflammatory changes.
Images Changes:
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Updates to Quizquestion Attributes
Answer
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It includes three imaging findings and diagnostic of gallstone ileus:
pneumobilia
small bowel obstruction
ectopic gallstone, usually in the right iliac fossa.
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