Gallstone Ileus-Lessons from a Missed Diagnosis

Gallstone ileus is an uncommon presentation in patients with acute abdomen. Its diagnosis and treatment are often delayed due to its nonspecific clinical presentation. Presence of gallstone in ileum can be difficult to detect on computed tomography (CT) as mostly they are lucent. We report the case...

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Main Authors: Animesh Ajit Sathe (Author), Rajat Naresh Bhargava (Author)
Format: Book
Published: Thieme Medical and Scientific Publishers Pvt. Ltd., 2023-01-01T00:00:00Z.
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100 1 0 |a Animesh Ajit Sathe  |e author 
700 1 0 |a Rajat Naresh Bhargava  |e author 
245 0 0 |a Gallstone Ileus-Lessons from a Missed Diagnosis 
260 |b Thieme Medical and Scientific Publishers Pvt. Ltd.,   |c 2023-01-01T00:00:00Z. 
500 |a 2581-9178 
500 |a 10.1055/s-0042-1754327 
520 |a Gallstone ileus is an uncommon presentation in patients with acute abdomen. Its diagnosis and treatment are often delayed due to its nonspecific clinical presentation. Presence of gallstone in ileum can be difficult to detect on computed tomography (CT) as mostly they are lucent. We report the case of a 66-year-old man with a 1-day history of vomiting and abdominal bloating. Initial CT could not identify the obstructing gall stone. On the follow-up CT, there was a distal shift of obstruction site in the intestine raising suspicion of a gallstone. We discuss the imaging findings on CT and the clues to diagnosing gallstone ileus. 
546 |a EN 
690 |a fistula 
690 |a gallstone 
690 |a ileus 
690 |a obstruction 
690 |a Internal medicine 
690 |a RC31-1245 
690 |a Diseases of the digestive system. Gastroenterology 
690 |a RC799-869 
655 7 |a article  |2 local 
786 0 |n Journal of Gastrointestinal and Abdominal Radiology, Vol 06, Iss 01, Pp 032-036 (2023) 
787 0 |n http://www.thieme-connect.de/DOI/DOI?10.1055/s-0042-1754327 
787 0 |n https://doaj.org/toc/2581-9178 
856 4 1 |u https://doaj.org/article/3239d25c7c33419c8280d3f9b4dcd3d1  |z Connect to this object online.