Gallstone ileus is a rare cause of acute abdomen, representing less than 1% of intestinal obstruction. It is due to mechanical small bowel obstruction (SBO) by a migrated gallstone. we report this observation to illustrate the imaging findings especially in CT scan. A 62-year-old woman was admitted to emergency for acute bowel obstruction. The CT scan has confirmed jejunal bowel distension with fluid levels upstream endoluminal formation which was rounded and well limited, measuring 5 cm of long axis. This training was slightly hyperdense with hypodense areas of fat density. Moreover, there was aerobilia with multiple fistulas between the duodenum (D1) and gallbladder, which was empty. The triad of aerobilia, small bowel obstruction and migrant gallstone was suggestive of gallstone ileus diagnosis. The patient was operated with good evolution. Gallstone ileus is an uncommon presentation of gallstone disease. It is frequently observed in elderly patients with a history of cholelithiasis or cholecystitis. Early diagnosis is crucial and would avoid morbidity and mortality related to this disease. CT scan shows the classical triad of Rigler with pneumobilia, an ectopic stone and mechanical ileus. CT may improve the diagnosis providing important information regarding the exact number, size, and location of ectopic stones and the site of intestinal obstruction or direct visualization of a biliary–enteric fistula, to help clinicians in the therapeutic management of patients.
| Published in | International Journal of Medical Imaging (Volume 7, Issue 1) |
| DOI | 10.11648/j.ijmi.20190701.14 |
| Page(s) | 25-28 |
| Creative Commons |
This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited. |
| Copyright |
Copyright © The Author(s), 2019. Published by Science Publishing Group |
Gallstone, Ileus, Bowel Obstruction, Pneumobilia, Acute Abdomen, CT Scan
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APA Style
Rachida Saouab, Fatima Zahra Rhouni, Mohammed Mahi, Hassan Boumdien, Touriya Amil, et al. (2019). Gallstone Ileus: An Uncommon Cause of Acute Abdomen. International Journal of Medical Imaging, 7(1), 25-28. https://doi.org/10.11648/j.ijmi.20190701.14
ACS Style
Rachida Saouab; Fatima Zahra Rhouni; Mohammed Mahi; Hassan Boumdien; Touriya Amil, et al. Gallstone Ileus: An Uncommon Cause of Acute Abdomen. Int. J. Med. Imaging 2019, 7(1), 25-28. doi: 10.11648/j.ijmi.20190701.14
AMA Style
Rachida Saouab, Fatima Zahra Rhouni, Mohammed Mahi, Hassan Boumdien, Touriya Amil, et al. Gallstone Ileus: An Uncommon Cause of Acute Abdomen. Int J Med Imaging. 2019;7(1):25-28. doi: 10.11648/j.ijmi.20190701.14
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Download@article{10.11648/j.ijmi.20190701.14,
author = {Rachida Saouab and Fatima Zahra Rhouni and Mohammed Mahi and Hassan Boumdien and Touriya Amil and Jamal El Fenni},
title = {Gallstone Ileus: An Uncommon Cause of Acute Abdomen},
journal = {International Journal of Medical Imaging},
volume = {7},
number = {1},
pages = {25-28},
doi = {10.11648/j.ijmi.20190701.14},
url = {https://doi.org/10.11648/j.ijmi.20190701.14},
eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ijmi.20190701.14},
abstract = {Gallstone ileus is a rare cause of acute abdomen, representing less than 1% of intestinal obstruction. It is due to mechanical small bowel obstruction (SBO) by a migrated gallstone. we report this observation to illustrate the imaging findings especially in CT scan. A 62-year-old woman was admitted to emergency for acute bowel obstruction. The CT scan has confirmed jejunal bowel distension with fluid levels upstream endoluminal formation which was rounded and well limited, measuring 5 cm of long axis. This training was slightly hyperdense with hypodense areas of fat density. Moreover, there was aerobilia with multiple fistulas between the duodenum (D1) and gallbladder, which was empty. The triad of aerobilia, small bowel obstruction and migrant gallstone was suggestive of gallstone ileus diagnosis. The patient was operated with good evolution. Gallstone ileus is an uncommon presentation of gallstone disease. It is frequently observed in elderly patients with a history of cholelithiasis or cholecystitis. Early diagnosis is crucial and would avoid morbidity and mortality related to this disease. CT scan shows the classical triad of Rigler with pneumobilia, an ectopic stone and mechanical ileus. CT may improve the diagnosis providing important information regarding the exact number, size, and location of ectopic stones and the site of intestinal obstruction or direct visualization of a biliary–enteric fistula, to help clinicians in the therapeutic management of patients.},
year = {2019}
}
TY - JOUR T1 - Gallstone Ileus: An Uncommon Cause of Acute Abdomen AU - Rachida Saouab AU - Fatima Zahra Rhouni AU - Mohammed Mahi AU - Hassan Boumdien AU - Touriya Amil AU - Jamal El Fenni Y1 - 2019/05/17 PY - 2019 N1 - https://doi.org/10.11648/j.ijmi.20190701.14 DO - 10.11648/j.ijmi.20190701.14 T2 - International Journal of Medical Imaging JF - International Journal of Medical Imaging JO - International Journal of Medical Imaging SP - 25 EP - 28 PB - Science Publishing Group SN - 2330-832X UR - https://doi.org/10.11648/j.ijmi.20190701.14 AB - Gallstone ileus is a rare cause of acute abdomen, representing less than 1% of intestinal obstruction. It is due to mechanical small bowel obstruction (SBO) by a migrated gallstone. we report this observation to illustrate the imaging findings especially in CT scan. A 62-year-old woman was admitted to emergency for acute bowel obstruction. The CT scan has confirmed jejunal bowel distension with fluid levels upstream endoluminal formation which was rounded and well limited, measuring 5 cm of long axis. This training was slightly hyperdense with hypodense areas of fat density. Moreover, there was aerobilia with multiple fistulas between the duodenum (D1) and gallbladder, which was empty. The triad of aerobilia, small bowel obstruction and migrant gallstone was suggestive of gallstone ileus diagnosis. The patient was operated with good evolution. Gallstone ileus is an uncommon presentation of gallstone disease. It is frequently observed in elderly patients with a history of cholelithiasis or cholecystitis. Early diagnosis is crucial and would avoid morbidity and mortality related to this disease. CT scan shows the classical triad of Rigler with pneumobilia, an ectopic stone and mechanical ileus. CT may improve the diagnosis providing important information regarding the exact number, size, and location of ectopic stones and the site of intestinal obstruction or direct visualization of a biliary–enteric fistula, to help clinicians in the therapeutic management of patients. VL - 7 IS - 1 ER -
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