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[Gallstone ileus: diagnosis and treatment]
S V Kharitonov1, I B Rannev2, S S Kharitonov1
1Pirogov Russian National Research Medical University of Healthcare Ministry of Russia, Moscow, Russia.
Khirurgiia
|December 12, 2018
Summary
Computed tomography (CT) offers high diagnostic value for acute gallstone ileus within the initial hours of patient admission. This imaging technique aids in optimizing diagnosis and surgical planning for this condition.
Area of Science:
- Radiology
- Gastroenterology
- Surgical Diagnostics
Background:
- Acute gallstone ileus is a rare complication of gallstones.
- Accurate and timely diagnosis is crucial for effective management.
- Radiological imaging plays a key role in diagnosing abdominal emergencies.
Purpose of the Study:
- To evaluate the diagnostic accuracy of various radiological modalities for acute gallstone ileus.
- To determine the most informative imaging technique for this condition.
Main Methods:
- Retrospective analysis of 7 patients diagnosed with acute gallstone ileus.
- Review of diagnostic imaging including abdominal X-ray, ultrasonography, and computed tomography (CT).
Main Results:
- Computed tomography (CT) demonstrated high diagnostic value for acute gallstone ileus, particularly when performed within the first few hours of admission.
- Abdominal X-ray and ultrasonography were found to be less informative compared to CT.
Conclusions:
- CT is a highly informative tool for diagnosing acute gallstone ileus.
- Integrating CT into emergency diagnostic algorithms can optimize patient care, clarify the etiology of ileus, and facilitate prompt surgical intervention decisions.
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