Gallstone ileus

Case contributed by Dr Ian Bickle

Presentation

Hospital admission for past 14 days with ultrasound proven calculus cholecystitis. Increasing abdominal distension and now vomiting.

Patient Data

Age: 76
Gender: Female
Modality: X-ray

Gallstones.

Faint round calcific density in the left flank.

Dilated gas filled small bowel.

Modality: CT

Air in the biliary tree.

Thickened collapsed gallbladder with a fistulous communication to the adjacent duodenum.

Mild-moderate dilated small bowel down to the ileum which contains a large laminated intraluminal gallstone.

Modality: Annotated image

Annotations of the features of gallstone ileus - a FULL HOUSE!

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Case Information

rID: 34637
Case created: 2nd Mar 2015
Last edited: 22nd Dec 2016
Tag: rdgh
Inclusion in quiz mode: Included

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