Radiological Diagnosis and Surgical Treatment of Gallstone Ileus.
biliary-enteric fistula
cholelithiasis
colonic gallstone ileus
computed tomography (ct )
enterolithotomy
small bowel surgery
Journal
Cureus
ISSN: 2168-8184
Titre abrégé: Cureus
Pays: United States
ID NLM: 101596737
Informations de publication
Date de publication:
May 2023
May 2023
Historique:
accepted:
02
05
2023
medline:
5
6
2023
pubmed:
5
6
2023
entrez:
5
6
2023
Statut:
epublish
Résumé
We report on the diagnosis and treatment of a patient who presented with a small bowel obstruction due to gallstone ileus. This condition is an infrequent complication of cholelithiasis that presents with non-specific and intermittent findings, including bloating, early satiety, constipation, nausea, and vomiting. Contrast-enhanced CT features the classic imaging finding, called Rigler's triad, which includes small bowel distension, gas in the gallbladder, and an ectopic gallstone. Laparoscopic enterolithotomy is employed to prevent further erosion through the gallbladder wall and into the adjacent gastrointestinal structures. The early diagnosis and treatment of gallstone ileus results in decreased morbidity and mortality.
Identifiants
pubmed: 37273410
doi: 10.7759/cureus.38481
pmc: PMC10237051
doi:
Types de publication
Case Reports
Langues
eng
Pagination
e38481Informations de copyright
Copyright © 2023, Kosco et al.
Déclaration de conflit d'intérêts
The authors have declared that no competing interests exist.
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