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CC BY-NC-ND 4.0 · Journal of Gastrointestinal and Abdominal Radiology 2023; 06(01): 032-036
DOI: 10.1055/s-0042-1754327
Case-in-Discussion

Gallstone Ileus—Lessons from a Missed Diagnosis

Animesh Ajit Sathe
1   Department of Radiodiagnosis, Fortis Hospital, Mulund, Mumbai, Maharashtra, India
,
Rajat Naresh Bhargava
1   Department of Radiodiagnosis, Fortis Hospital, Mulund, Mumbai, Maharashtra, India
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Abstract

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.

Keywords

fistula - gallstone - ileus - obstruction


Publication History

Article published online:
20 December 2022

© 2022. Indian Society of Gastrointestinal and Abdominal Radiology. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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