Gallstone ileus: a new role for abdominal computed tomography

This case report illustrates the difficulties in making the clinical diagnosis of gallstone ileus. In addition to an unusual clinical picture, the changes normally expected on abdominal X-ray in gallstone ileus were subtle and missed in our patient. The diagnosis was made using abdominal computerise...

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Bibliographic Details
Published in:Postgraduate medical journal 1995-05, Vol.71 (835), p.313-315
Main Authors: Seal, E. C., Creagh, M. F., Finch, P. J.
Format: Article
Language:English
Subjects:
Aged
Biological and medical sciences
Cholelithiasis - complications
Cholelithiasis - diagnostic imaging
Digestive system
Female
Humans
Intestinal Obstruction - diagnostic imaging
Intestinal Obstruction - etiology
Intestine, Small - diagnostic imaging
Investigative techniques, diagnostic techniques (general aspects)
Medical sciences
Radiodiagnosis. Nmr imagery. Nmr spectrometry
Tomography, X-Ray Computed
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Summary:This case report illustrates the difficulties in making the clinical diagnosis of gallstone ileus. In addition to an unusual clinical picture, the changes normally expected on abdominal X-ray in gallstone ileus were subtle and missed in our patient. The diagnosis was made using abdominal computerised tomography (CT). We recommend the early use of abdominal CT scanning in the investigation of clinical bowel obstruction, especially in the elderly, where gallstone ileus is a more common condition.
ISSN:0032-5473
1469-0756
DOI:10.1136/pgmj.71.835.313