Spontaneous resolution of gallstone ileus followed by imaging: A case report and a literature review.

CT Conservative management Gallstones Multimodality approach Spontaneous resolutions

Journal

Radiology case reports
ISSN: 1930-0433
Titre abrégé: Radiol Case Rep
Pays: Netherlands
ID NLM: 101467888

Informations de publication

Date de publication:
Mar 2023
Historique:
received: 22 11 2022
revised: 08 12 2022
accepted: 10 12 2022
entrez: 20 1 2023
pubmed: 21 1 2023
medline: 21 1 2023
Statut: epublish

Résumé

Gallstone ileus (GI) is a rare cause of acute abdomen in an emergency setting and a rare complication of cholelithiasis in the elderly, with a female prevalence. Radiologists play a key role in the diagnosis and management of this condition and, with a multimodal approach, diagnostic accuracy usually increases. Spontaneous resolution of GI has previously been reported for stones smaller than 2 cm. Gallstones usually require surgical management; however, in patients with comorbidities and at high risk of surgical complications, a conservative approach may be considered. Herein, we report the case of an 84-year-old woman who came to the emergency department with an acute abdomen pain caused by a GI, with a 2.6 cm gallstone that was revealed on computed tomography and which was followed by diagnostic imaging with spontaneous resolution.

Identifiants

pubmed: 36660573
doi: 10.1016/j.radcr.2022.12.023
pii: S1930-0433(22)01101-3
pmc: PMC9842964
doi:

Types de publication

Case Reports

Langues

eng

Pagination

1175-1180

Informations de copyright

© 2022 The Authors. Published by Elsevier Inc. on behalf of University of Washington.

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Auteurs

Barbara Brogna (B)

Department of Emergency and Interventional Radiology, San Giuseppe Moscati Hospital, Contrada Amoretta, 83100 Avellino, Italy.

Marta Ventola (M)

Department of Medicine and Health Science, University of Study of Molise, "V. Tiberio", Campobasso, 86100, Italy.

Roberta Blasio (R)

Department of Emergency and Interventional Radiology, San Giuseppe Moscati Hospital, Contrada Amoretta, 83100 Avellino, Italy.

Lorenzo Junior Colucci (LJ)

Medicine and Surgery in English, Precision Medicine Department, University of Study of Campania "Luigi Vanvitelli", S. Andrea delle Dame, Via L. De Crecchio, 7, Napoli, 80138, Italy.

Giuliano Gagliardi (G)

Department of Emergency and Interventional Radiology, San Giuseppe Moscati Hospital, Contrada Amoretta, 83100 Avellino, Italy.

Elio Bignardi (E)

Radiology Unit, Cotugno Hospital, Naples, Via Quagliariello 54, Napoli, 80131, Italy.

Antonietta Laporta (A)

Department of Emergency and Interventional Radiology, San Giuseppe Moscati Hospital, Contrada Amoretta, 83100 Avellino, Italy.

Lorenzo Iovine (L)

Department of Emergency Surgery, San Giuseppe Moscati Hospital, Contrada Amoretta, Avellino, 83100, Italy.

Mena Volpe (M)

Department of Emergency and Interventional Radiology, San Giuseppe Moscati Hospital, Contrada Amoretta, 83100 Avellino, Italy.

Lanfranco Aquilino Musto (LA)

Department of Emergency and Interventional Radiology, San Giuseppe Moscati Hospital, Contrada Amoretta, 83100 Avellino, Italy.

Classifications MeSH