Gallstone ileus
Diagnosis almost certain
Disclosures
- updated 14 May 2023:
Nothing to disclose
Updates to Case Attributes
Title
was changed:
Gallstone Illeusileus
Status
changed from pending review to published (public).
Published At
was set to
2023-12-15T12:36:59.907Z.
Body
was changed:
Previously there was a 3.7 cm partially calcified gallstone within a distended gallbladder. This is now seen within the small bowel causing obstruction with distention of the proximal small bowel and stomach distention. PnemobilliaPneumobilia also present. Example of Riglers TriadRigler triad.
-<p>Previously there was a 3.7 cm partially calcified gallstone within a distended gallbladder. This is now seen within the small bowel causing obstruction with distention of the proximal small bowel and stomach distention. Pnemobillia also present. Example of Riglers Triad. </p>- +<p>Previously there was a 3.7 cm partially calcified <a href="/articles/gallstones-1" title="Gallstones">gallstone</a> within a distended gallbladder. This is now seen within the small bowel causing obstruction with distention of the proximal small bowel and stomach distention. <a href="/articles/pneumobilia" title="Pneumobilia">Pneumobilia</a> also present. Example of <a href="/articles/rigler-triad-gallstone-ileus" title="Rigler triad (gallstone ileus)">Rigler triad</a>.</p>
Systems changed:
- Hepatobiliary
Updates to Link Attributes
Title
was removed:
Type
was removed.
Visible
changed from true to false.
Updates to Primarylink Attributes
Title
was added:
Gallstone ileus
Slug
was set to
gallstone-ileus-80.
Type
was set to
PrimaryLink.
Visible
was set to
true.
Content
was set to
180549.
Content Type
was set to
Case.
Updates to Study Attributes
Findings
was changed:
Pneumobilia, smallcollapsed gallbladder with fistulous tract filled with air between galbladder and first part of duodenum consistent with cholecystoduodenal fistula.
Small bowel obstruction and large stone at site of obstructionthe jujenum.
Images Changes:
Image 26 CT (C+ portal venous phase) ( create )
Annotation 8110
changed from ,0 arrows,0 labels to large stone,2 arrows,1 label.
Image 26 CT (C+ portal venous phase) ( create )
Annotation 8111
changed from ,0 arrows,0 labels to Left renal simple cyst,1 arrow,1 label.
Image 26 CT (C+ portal venous phase) ( create )
Annotation 8112
changed from ,0 arrows,0 labels to collapsed gallbladder,1 arrow,1 label.
Image 28 CT (C+ portal venous phase) ( create )
Annotation 8108
changed from ,0 arrows,0 labels to Pneumobilia,2 arrows,1 label.
Image 28 CT (C+ portal venous phase) ( create )
Annotation 8109
changed from ,0 arrows,0 labels to cholecystoduodenal fistula,3 arrows,1 label.
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