Abstract
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.
Full text
PDF
Images in this article
Selected References
These references are in PubMed. This may not be the complete list of references from this article.
- Clavien P. A., Richon J., Burgan S., Rohner A. Gallstone ileus. Br J Surg. 1990 Jul;77(7):737–742. doi: 10.1002/bjs.1800770707. [DOI] [PubMed] [Google Scholar]
- Davies R. J., Sandrasagra F. A., Joseph A. E. Case report: ultrasound in the diagnosis of gallstone ileus. Clin Radiol. 1991 Apr;43(4):282–284. doi: 10.1016/s0009-9260(05)80260-0. [DOI] [PubMed] [Google Scholar]
- Day E. A., Marks C. Gallstone ileus. Review of the literature and presentation of thirty-four new cases. Am J Surg. 1975 May;129(5):552–558. doi: 10.1016/0002-9610(75)90315-3. [DOI] [PubMed] [Google Scholar]
- Deitz D. M., Standage B. A., Pinson C. W., McConnell D. B., Krippaehne W. W. Improving the outcome in gallstone ileus. Am J Surg. 1986 May;151(5):572–576. doi: 10.1016/0002-9610(86)90550-7. [DOI] [PubMed] [Google Scholar]
- Gajraj H. Gallstone ileus. Br J Surg. 1991 Mar;78(3):378–378. doi: 10.1002/bjs.1800780336. [DOI] [PubMed] [Google Scholar]
- KIRKLAND K. C., CROCE E. J. Gallstone intestinal obstruction. A review of the literature and presentation of 12 cases, including 3 recurrences. JAMA. 1961 May 13;176:494–497. doi: 10.1001/jama.1961.03040190016005. [DOI] [PubMed] [Google Scholar]
- Kasahara Y., Umemura H., Shiraha S., Kuyama T., Sakata K., Kubota H. Gallstone ileus. Review of 112 patients in the Japanese literature. Am J Surg. 1980 Sep;140(3):437–440. doi: 10.1016/0002-9610(80)90185-3. [DOI] [PubMed] [Google Scholar]
- Leen G. L., Finlay M. CT diagnosis of gall stone ileus. Acta Radiol. 1990 Sep;31(5):497–498. [PubMed] [Google Scholar]
- Lorén I., Lasson A., Nilsson A., Nilsson P., Nirhov N. Gallstone ileus demonstrated by CT. J Comput Assist Tomogr. 1994 Mar-Apr;18(2):262–265. doi: 10.1097/00004728-199403000-00017. [DOI] [PubMed] [Google Scholar]
- Moss J. F., Bloom A. D., Mesleh G. F., Deziel D., Hopkins W. M. Gallstone ileus. Am Surg. 1987 Aug;53(8):424–428. [PubMed] [Google Scholar]
- Syme R. G. Management of gallstone ileus. Can J Surg. 1989 Jan;32(1):61–64. [PubMed] [Google Scholar]
- VanLandingham S. B., Broders C. W. Gallstone ileus. Surg Clin North Am. 1982 Apr;62(2):241–247. doi: 10.1016/s0039-6109(16)42683-6. [DOI] [PubMed] [Google Scholar]