Gallstone ileus

Case contributed by Dr Domenico Nicoletti

Presentation

Elderly patient with vomiting, abdominal pain and peritonism. Increased inflammatory markers.

Patient Data

Age: 85
CT

Small intestine dilatation with two large calcified gallstones in the distal ileum. There is peritoneal free fluid, pneumobilia with gas in the gallbladder.

Case Discussion

Gallstone ileus is an uncommon cause of mechanical small bowel obstructions (~2%). ​

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Case information

rID: 37763
Case created: 22nd Jun 2015
Last edited: 10th Oct 2017
Inclusion in quiz mode: Included

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