Gallstone ileus
Updates to Case Attributes
Mechanical Imaging features are consistent with mechanical small bowel obstruction secondary to a migrated gall stone through cholecystoduodenal fistula (gallstone ileus).
-<p>Mechanical small bowel obstruction secondary to a gallstone ileus.</p>- +<p>Imaging features are consistent with mechanical <a title="Small bowel obstruction" href="/articles/small-bowel-obstruction">small bowel obstruction</a> secondary to migrated gall stone through <a title="Cholecystoduodenal fistula" href="/articles/cholecystoduodenal-fistula">cholecystoduodenal</a><a title="Cholecystoduodenal fistula" href="/articles/cholecystoduodenal-fistula"> fistula</a> (<a title="Gallstone ileus" href="/articles/gallstone-ileus">gallstone ileus</a>).</p>
Systems changed:
- Hepatobiliary
Updates to Study Attributes
There are dilated gas-filled loops of small bowel seen throughout the upper abdomen. Within the right lower abdomen, projected over the right iliac crest, is a well demarcated-demarcated calcified opacity.
Updates to Study Attributes
Small bowel loops are dilated and fluid filled with a transition point in the right lower abdomen. There is a high density-density intraluminal object at the transition point within the distal ileum.
The The terminal ileum and large bowel are collapsed.
There are small flecks of gas within the biliary tree. The gallbladder is collapsed with evidence of luminal gas. There is a fistulous communication between the gallbladder and the duodenum (cholecystoduodenal fistula).
Small collection seen adjacent to the gallbladder.
Image CT (C+ portal venous phase) ( update )
Image CT (C+ portal venous phase) ( update )
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