Role of Helical CT in Diagnosis of Gallstone Ileus and Related Conditions

Lassandro, Francesco; Romano, Stefania; Ragozzino, Alfonso; Rossi, Giovanni; Valente, Tullio; Ferrara, Ilaria; Romano, L; Grassi, Roberto

doi:10.2214/ajr.04.1371

Cited by 130 publications

(122 citation statements)

References 25 publications

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“…The classical radiological triad for this diagnosis is pneumobilia, the presence of an ectopic gallstone, and mechanical bowel obstruction 11 . Advanced diagnostic imaging technology, such as multidetector CT, allows direct visualization of cholecystoenteric stulae, permitting more precise diagnoses 12 .…”

Section: Discussionmentioning

confidence: 99%

A Case of Gallstone Ileus

Umemoto

Shinmura

Shimada

et al. 2012

Showa Univ J Med Sci

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: A 57-year-old woman was admitted to our hospital with abdominal pain and vomiting. Her abdomen was distended, and obstructive bowel sounds were discovered on examination. Diffuse abdominal tenderness was present, but no palpable masses were apparent. Abdominal computed tomography confirmed a large gallstone obstructing the small bowel. Colonoscopy revealed a large gallstone lodged at the terminal ileum, which was subsequently fragmented using electronic hydraulic lithotripsy EHL . The patient has remained asymptomatic for over 3 years of follow-up after the EHL treatment.Here, we present this case of small intestinal obstruction caused by a large gallstone in the lower ileum.

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Section: Discussionmentioning

confidence: 99%

A Case of Gallstone Ileus

Umemoto

Shinmura

Shimada

et al. 2012

Showa Univ J Med Sci

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“…Abdominal CT off ers better visualization of the impacted stone and can document gallbladder thickening, pneumobilia and intestinal obstruction [4]. Enteroscopy is of relatively limited use for the diagnosis of this condition.…”

Section: Discussionmentioning

confidence: 99%

Gallstone ileus: correlation between computed tomography, double-balloon enteroscopy and intra-operative findings

Hartemink

Hepp

Bos

et al. 2010

Wien Klin Wochenschr

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Zusammenfassung. Der Gallenstein-Ileus ist eine seltene Ursache für eine Obstruktion des Dünndarms. Gefährdet sind vor allem ältere Patienten. Wir berichten über eine 88-jährige Patientin, die einen solchen Gallenstein-Ileus erlitt. Die Korrelation zwischen den Ergebnissen der Computer Tomographie und der Doppel-BallonEnteroskopie mit dem intra-operativem Befund wird ebenso wie mögli-che therapeutische Strategien diskutiert. Summary.Gallstone ileus is an uncommon cause of small bowel obstruction, aff ecting mainly elderly patients. We report a case of gallstone ileus in an 88-year old female patient. Th e correlation between computed tomography, double-balloon enteroscopy and intra-operative fi ndings is discussed, as well as treatment strategies.

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“…The Rigler triad is seen in up to 80% of cases when CT is used. 2 Ultrasound is purported to have greater than 95% specificity and sensitivity in detecting gallstones within the gallbladder, but it is of limited use in cases of gallstone ileus because of gaseous distension of the bowel. 3 Surgical intervention is the mainstay treatment strategy of gallstone ileus.…”

Section: Image Of the Month : Gallstone Ileusmentioning

confidence: 99%

Image of the month: Gallstone ileus

et al. 2017

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A 97-year-old woman presented to our emergency department with nausea, vomiting and abdominal pain for about 2 days. Image of the month : Gallstone ileusShe had a history of ultrasound-guided percutaneous cholecystostomy following chronic cholecystitis with a huge gallstone 1 year earlier (Fig 1 ). Her physical examination showed hypoactive bowel sound and tympanic abdominal percussion. The abdominal radiograph showed no specific findings, except a distended stomach and dilated proximal small bowel loop. A follow-up abdominal computerised tomography (CT) scan demonstrated a gallstone measuring about 4.6 × 3.3 cm in the proximal jejunum, which caused proximal gas distension of the bowel, consistent with gallstone ileus (Fig 1 ). The patient underwent urgent enterolithotomy and she had an uneventful recovery.Gallstone ileus is a rare bowel obstruction caused by cholelithiasis, which occurs more frequently in older women

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Role of Helical CT in Diagnosis of Gallstone Ileus and Related Conditions

Cited by 130 publications

References 25 publications

A Case of Gallstone Ileus

A Case of Gallstone Ileus

Gallstone ileus: correlation between computed tomography, double-balloon enteroscopy and intra-operative findings

Image of the month: Gallstone ileus

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