Gallstone ileus

Case contributed by A.Prof Frank Gaillard

Small bowel obstruction with calcified gallstone within the small bowel. 

Case Discussion

Gallstone ileus occurs in setting of chronic cholecystitis or following multiple ERCPs. Risk increases with age.

Classical findings: small bowel obstruction; gas in biliary tree; large ectopic gallstone (Rigler triad). Other findings: collapsed gallbladder; gas in gallbladder. 

Credit: Dr Marina-Portia Anthony.

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Case information

rID: 36012
Case created: 24th Apr 2015
Last edited: 26th Oct 2015
Inclusion in quiz mode: Included

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