EURORAD ESR

Case 10196

Gallstone ileus

Author(s)
Etienne Léonard 1, Vesselle Guillaume 2, Scheffler Max 1

1 Geneva University Hospital, Department of Radiology, Rue Gabrielle-Perret-Gentil 4, 1211 Geneva 14, Switzerland; 2Poitiers University Hospital, Department of Radiology, 4, rue de la Miletrie, 86000 Poitiers, France
 
Patient
female, 53 year(s)
 
 
  • Figure 1
    Coronal CT

    Coronal abdominal CT: The upper arrow shows a fistula between the gallbladder and the duodenum. The lower arrow shows an ovoid, hypodense and well delimited element in the proximal ileon, above the transitional zone.

     
    Area of Interest: Abdomen; Imaging Technique: CT-High Resolution; Procedure: Contrast agent-intravenous; Special Focus: Acute;
     
     
  • Figure 2
    Coronal CT

    Coronal abdominal CT: Air is seen within the bilio-duodenal fistula.

     
    Area of Interest: Abdomen; Imaging Technique: CT-High Resolution; Procedure: Contrast agent-intravenous; Special Focus: Acute;
     
     
  • Figure 3
    Axial CT

    Axial abdominal CT: Note air within in the gallbladder.

     
    Area of Interest: Abdomen; Imaging Technique: CT-High Resolution; Procedure: Contrast agent-intravenous; Special Focus: Acute;
     
     
  • Figure 4
    Axial CT

    Axial abdominal CT shows the calculus as responsible for mechanical obstruction of the small bowel.

     
    Area of Interest: Small bowel; Imaging Technique: CT-High Resolution; Procedure: Contrast agent-intravenous; Special Focus: Acute;
     
     
  • Figure 5
    Specimen

    Macrophotograph of the ectopic gallstone.

     
    Area of Interest: Abdomen; Imaging Technique: CT-High Resolution; Procedure: Surgery; Special Focus: Calcifications / Calculi;
     
     
Coronal abdominal CT: The upper arrow shows a fistula between the gallbladder and the duodenum. The lower arrow shows an ovoid, hypodense and well delimited element in the proximal ileon, above the transitional zone.
 
Coronal abdominal CT: Air is seen within the bilio-duodenal fistula.
 
Axial abdominal CT: Note air within in the gallbladder.
 
Axial abdominal CT shows the calculus as responsible for mechanical obstruction of the small bowel.
 
Macrophotograph of the ectopic gallstone.
 
 
 
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