Gallstone ileus

Discussion:

Abdominal films are often no longer obtained in the setting of acute abdominal pain, with most patients proceeding directly to CT. It is true that if the patient is unwell enough, plain films are unlikely to make a CT unnecessary. Even so, in this case, supine and abdominal films were sufficient to make the diagnosis. Although no one believes plain films anymore, gallstone ileus remains a favorite case for oral exams. 

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