Gallstone ileus

Case contributed by Mohammed A. Mahdi

Presentation

Abdominal pain and vomiting.

Patient Data

Age: 70 years
Gender: Female
ct

Signs of small bowel obstruction with transition point in the distal ileum; collapsed most distal part of ileum and large bowel. At the transition point there is a hypodense rounded intraluminal lesion seen in distal ileum with peripheral hyperdense rim, suggesting gallstone.

Pneumobilia and gas within an inflamed gallbladder. 

Case Discussion

Findings represent the classical radiological signs of gallstone ileus with typical Rigler's triad.

The case was confirmed surgically. 

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