EURORAD ESR

Case 1488

Gallstone Ileus

Author(s)
Y.D. Van der Werff, B.C. Loffeld
 
Patient
female, 84 year(s)
 
 
  • Figure 1
    Plain conventional radiography of the abdomen in the supine position

    shows markedly dilated and air-filled small bowel loops in right flank and supravesical regions. No distension of the colon is noted. An oval opacity with faint peripheral calcification (arrow) and diameter of at...

     
    Area of Interest: unknown; Imaging Technique: Plain conventional radiography of the abdomen in the supine position;
     
     
  • Figure 2
    Contrast enhanced CT scan of the abdomen
     

    includes section at the level of the liver which shows non dilated intrahepathic bile ducts filled with air in the left liver lobe

     
    Area of Interest: unknown; Imaging Technique: Contrast enhanced CT scan of the abdomen;

    and section at the level of the right iliac fossa which demonstrates large laminated opacity (arrow) in a distended ileal loop.

     
    Area of Interest: unknown; Imaging Technique: Contrast enhanced CT scan of the abdomen;
     
     
  • Figure 3
    Photograph of the extracted stone

    measuring 2.5 x 2.5 x 3.5 cm in diameter is obtained.

     
    Area of Interest: unknown; Imaging Technique: Photograph of the extracted stone;
     
     
shows markedly dilated and air-filled small bowel loops in right flank and supravesical regions. No distension of the colon is noted. An oval opacity with faint peripheral calcification (arrow) and diameter of at least 2.5 mm is seen in the right fossa. There is a pneumo-cholangiogram sign at the left liver lobe (arrowhead).
 
includes section at the level of the liver which shows non dilated intrahepathic bile ducts filled with air in the left liver lobe
 
and section at the level of the right iliac fossa which demonstrates large laminated opacity (arrow) in a distended ileal loop.
 
measuring 2.5 x 2.5 x 3.5 cm in diameter is obtained.
 
 
 
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