1995
DOI: 10.1136/pgmj.71.835.313
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Gallstone ileus: a new role for abdominal computed tomography

Abstract: SummaryThis case report illustrates the difficulties in making the clinical diagnosis of gallstone ileus. In addition to an unusual clinical picture, the changes normally expected on abdominal X-ray in gallstone ileus were subtle and missed in our patient. The diagnosis was made using abdominal computerised tomography (CT). We recommend the early use of abdominal CT scanning in the investigation of clinical bowel obstruction, especially in the elderly, where gallstone ileus is a more common condition.

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Cited by 22 publications
(16 citation statements)
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“…abscesses, tuberculosis and ascariasis, inflammation, e.g. diverticulitis and Crohn's disease, volvulus, intussusception, gallstone ileus and bezoars [11,14,47,59,60,61,62]. The relative incidence of the various causes of SBO have changed over time with a rise in the contribution of adhesions and a decline in hernias, due to the proliferation of elective abdominal surgery [3].…”
Section: Ultrasoundmentioning
confidence: 99%
“…abscesses, tuberculosis and ascariasis, inflammation, e.g. diverticulitis and Crohn's disease, volvulus, intussusception, gallstone ileus and bezoars [11,14,47,59,60,61,62]. The relative incidence of the various causes of SBO have changed over time with a rise in the contribution of adhesions and a decline in hernias, due to the proliferation of elective abdominal surgery [3].…”
Section: Ultrasoundmentioning
confidence: 99%
“…The sensitivity of these criteria is variable; aerobilia, for example, is only visualized in 30-60% of cases (1,2) and, therefore, preoperative diagnosis based on plain abdominal X ray is only obtained in 50% of cases. The use of ultrasonography and computed tomography may increase diagnostic sensitivity (1,2) showing the presence of aerobilia, location of the stone and biliary-enteric fistula (3)(4)(5). Surgical treatment involves longitudinal enterolithotomy at the point of impaction, with opening of the intestine and stone removal (6).…”
Section: Discussionmentioning
confidence: 99%
“…Interval improvement in symptoms may occur as the stone becomes dislodged, with symptoms recurring as the stone becomes repeatedly obstructed. 5 CT imaging is most often used in the investigation of gallstone ileus, 6 8 as only a minority of gallstones have sufficient calcium content to be visible on abdominal X-rays. 9 , 10 Management of gallstone ileus is predominantly surgical, usually involving an enterolithotomy with or without additional procedures.…”
Section: Introductionmentioning
confidence: 99%