Gallstone Ileus: A Rare Case of Intestinal Obstruction

Authors

  • Rosário de Eça Serviço de Medicina Interna, Centro Hospitalar Universitário Lisboa Central, Lisboa, Portugal
  • Pedro Sousa Serviço de Radiologia, Hospital Beatriz Ângelo, Loures, Portugal

DOI:

https://doi.org/10.60591/crspmi.56

Keywords:

Gallstones/complications, Ileus, Intestinal Obstruction/ etiology

Abstract

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References

Morosin T, De Robles MSB, Putnis S. Gallstone Ileus: An Unusual Cause of Intestinal Obstruction. Cureus. 2020;12:e7284. doi: 10.7759/cureus.7284.

Inukai K. Gallstone ileus: a review. BMJ Open Gastroenterol. 2019;6:e000344. doi: 10.1136/bmjgast-2019-000344.

Chang L, Chang M, Chang HM, Chang AI, Chang F. Clinical and radiological diagnosis of gallstone ileus: a mini review. Emerg Radiol. 2018;25:189-96. doi: 10.1007/s10140-017-1568-5.

Contrast CT of the abdomen and pelvis in the coronal plane at the time of admission demonstrating an impacted endoluminal calculus with 2 cm in the small bowel (red arrow). Notice the upstream dilatation of the small bowel (*) and stomach (*) and the normal caliber of the colon (green arrows), meaning a mechanical obstruction is present. The biliary tree is also dilated and with pneumobilia (white arrow), meaning a probable fistula with the small bowel was present, in this case a choledocoduodenal.

Published

05-06-2023

How to Cite

de Eça, R., & Sousa, P. (2023). Gallstone Ileus: A Rare Case of Intestinal Obstruction. SPMI Case Reports, 1(2), 100–101. https://doi.org/10.60591/crspmi.56

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Section

Imagens em Medicina

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