Case 205: renal stone ileus

Area of Science:

• Gastroenterology
• Surgical Oncology
• Radiology

Background:

• An 80-year-old female patient with a history of renal stones, cholecystectomy, and comorbidities presented with acute symptoms.
• The patient reported a two-day history of significant abdominal distention and vomiting.

Observation:

• Clinical examination indicated a distended, tympanic abdomen with generalized tenderness.
• No peritoneal signs were evident upon physical examination.

Findings:

• Abdominal radiography was performed initially in the emergency department.
• Computed tomography (CT) scan was subsequently conducted, guided by initial radiographic results.

Implications:

• Diagnostic imaging is crucial for identifying the cause of acute abdominal symptoms.
• Prompt surgical evaluation is indicated for suspected bowel obstruction.