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[Gallstone ileus. Abdominal CT usefulness]
F Sukkarieh1, P Brasseur, L Bissen
1Service d'Imagerie Médicale, CHU de Charleroi, Site André Vésale, Montigny-le-Tilleul.
Abstract:
The authors report the case of a 93-year old woman referred to the emergency department and presenting with an intestinal obstruction. Abdominal CT reveals a biliary ileus caused by the migration and the impaction of a 3 cm gallstone in the small bowel. Surgical treatment by enterolithotomy was successful. In over 90% of cases, gallstone ileus is a complication of cholelithiasis and accounts for 25% of intestinal obstruction in patients over 65 years. To reduce morbidity and mortality, early diagnosis and prompt treatment are essential. Abdominal CT-scan is the gold standard technique.
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