EURORAD ESR

Case 9958

A different approach to gallstone ileus

Author(s)
Leder NI1, Grubelić Crnčević M1, Kavur L1, Leder M2, Popić Ramač J1, Vidjak V1

1. Clinical Department of Diagnostic and Interventional Radiology
Clinical Hospital "Merkur" , Zagreb, Croatia

2. Department of Radiology,
Clinical Hospital "Sveti duh" , Zagreb, Croatia
 
Patient
female, 85 year(s)
 
 
  • Figure 1
    Plain abdominal X-ray

    Ileus

     
    Area of Interest: Abdomen; Imaging Technique: Conventional radiography; Procedure: Diagnostic procedure; Special Focus: Acute;
     
     
  • Figure 2
    Barium follow-through examination

    Large oval mass blocking the distal passage of contrast medium in the inferior horizontal part of the duodenum. Bilio-duodenal fistula.

     
    Area of Interest: Abdomen; Imaging Technique: Fluoroscopy; Procedure: Barium meal; Special Focus: Fistula; Obstruction / Occlusion;
     
     
  • Figure 3
    Barium follow-through examination

    Large oval mass blocking the distal passage of contrast medium in the inferior horizontal part of the duodenum. Bilio-duodenal fistula with the contrast medium depicting the billiary system.

     
    Area of Interest: Abdomen; Imaging Technique: Fluoroscopy; Procedure: Barium meal; Special Focus: Fistula; Obstruction / Occlusion;
     
     
  • Figure 4
    Gallstone shown during surgery

    In surgery

     
    Area of Interest: Abdominal wall; Gastrointestinal tract; Imaging Technique: Image manipulation / Reconstruction; Procedure: Intraoperative; Special Focus: Foreign bodies;
     
     
  • Figure 5
    Gallstone measuring 60 x 30 mm

    Extracted gallstone

     
    Area of Interest: Gastrointestinal tract; Imaging Technique: Image manipulation / Reconstruction; Procedure: Intraoperative; Special Focus: Foreign bodies;
     
     
Ileus
 
Large oval mass blocking the distal passage of contrast medium in the inferior horizontal part of the duodenum. Bilio-duodenal fistula.
 
Large oval mass blocking the distal passage of contrast medium in the inferior horizontal part of the duodenum. Bilio-duodenal fistula with the contrast medium depicting the billiary system.
 
In surgery
 
Extracted gallstone
 
 
 
Home Search Sections Teaching Cases History FAQ Case Archives Contact Login Disclaimer Imprint Switch to MOBILE version
View desktop version