Gallstone ileus

Case contributed by Assoc Prof Frank Gaillard
CT

Abdomen and pelvis

Small bowel obstruction with calcified gallstone within the small bowel. 

Case Discussion

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

Classical findings: small bowel obstruction, gas in biliary tree and 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
Published: 12th May 2015
Last edited: 15th Oct 2019
Inclusion in quiz mode: Excluded

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