2019
DOI: 10.1016/j.ijscr.2019.06.063
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Gallstone ileus with evident forchet sign:case report

Abstract: Highlights GSI is clinical entity of mechanical intestinal obstruction. It’s most commonly seen in elderly patients. CT scanning is the most sensitive and spesific radiological diagnostic method. Also riglers triad, forchet sign and petren sign are pathognomonic for CT scanning in GSI.

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Cited by 6 publications
(28 citation statements)
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“…Classical Rigler's triad consisting of pneumobilia, intestinal obstruction, and ectopic gallstones are seen in 40-70% of patients. In our case, the Rigler's triad was detected in the preoperative evaluations [10][11][12] .…”
Section: Discussionmentioning
confidence: 48%
See 1 more Smart Citation
“…Classical Rigler's triad consisting of pneumobilia, intestinal obstruction, and ectopic gallstones are seen in 40-70% of patients. In our case, the Rigler's triad was detected in the preoperative evaluations [10][11][12] .…”
Section: Discussionmentioning
confidence: 48%
“…There are differences of opinion on how to perform the surgical approach. The generally accepted approach is to remove the stone by enterotomy in the first operation and to perform cholecystectomy and biliaryenteric fistula repair in the second operation 11,12 . In our case, we performed stone extraction by an enterotomy and small bowel repair.…”
Section: Discussionmentioning
confidence: 99%
“…En la literatura se describen dos síndromes poco frecuentes, definidos por el nivel donde se impacta el lito produciendo la oclusión. Uno de estos síndromes es el de Barnard, en el que el cálculo se impacta a nivel de la válvula ileocecal; cuando dicho cálculo se encuentra obstruyendo el duodeno se denomina síndrome de Bouveret 5,6 . A pesar de no manifestarse con una sintomatología específica, se ha descrito la triada de Mordor: antecedentes de colelitiasis y clínica combinada de obstrucción intestinal y cólico biliar.…”
Section: Discussionunclassified
“…La ecografía abdominal es poco sensible y específica para el diagnóstico de íleo biliar a diferencia de su rendimiento en patología biliar, presentando, además, la desventaja de ser observador dependiente. Actualmente, la prueba radiológica que presenta mayor sensibilidad y especificidad es la tomografía computarizada abdominal, ya que permite visualizar los hallazgos de la triada de Rigler con mayor fiabilidad (cálculo radioopaco, aerobilia y dilatación de asas) 6,8 . Otras exploraciones, como la endoscopia digestiva alta o la colonoscopia, se describen en la literatura en pacientes con litiasis accesibles por estas vías, teniendo cierta utilidad terapéutica en casos seleccionados 5 .…”
Section: Discussionunclassified
“…Gallstone ileus is defined as the mechanical obstruction of the digestive tract, most commonly the distal part of small intestine, at the ileo-cecal valve (Bahuin´s valve) (60-75%). [1][2][3][4][5][6] Rarely occurs in proximal ileum or jejunum (16.1-40%), stomach (14.2%), duodenum (3.5%). 3,5 Secondary to a gallstone (most frequently a big one >2,5 cm), due to their narrow lumen and less peristalsis activity of this anatomic section of the small bowel.…”
Section: Introductionmentioning
confidence: 99%