Presentation
Presented with right hypochondrial colicky pain and nausea. Elevated inflammatory markers.
Patient Data
Age: 60 years
Gender: Female
From the case:
Gallstone ileus due to cholecystopyloric fistula
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Thick, enhancing gallbladder wall and cholecystopyloric fistula with a large gallstone in the gastric fundus.
Jejunal small bowel obstruction due to slightly smaller gallstone with upstream wall thickening and edematous adjacent mesentery.
Case Discussion
Operative findings correlated with the radiological findings. Jejunal resection was required due to necrosis.
A rare case of cholecystogastric fistula due to chronic cholelithiasis resulting in gallstone ileus.
Unusual finding of a gastric gallstone.
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