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Related Experiment Video

Updated: Jan 19, 2026

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Gas in gallbladder-gallstone ileus?

Siang Wei Gan1, Reizal Mohd Rosli2, George Kiroff1

  • 1Upper GI Department, The Queen Elizabeth Hospital, Woodville South, SA, Australia.

Journal of Surgical Case Reports
|September 19, 2019
PubMed
Summary
This summary is machine-generated.

Gallstone ileus, a rare cause of small bowel obstruction (SBO), is often diagnosed late. Early computed tomography (CT) scans are crucial for accurate diagnosis, especially when plain radiography is inconclusive.

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Area of Science:

  • Gastroenterology
  • Abdominal Surgery
  • Diagnostic Imaging

Background:

  • Gallstone ileus is an infrequent cause of acute surgical abdomen.
  • Non-specific symptoms frequently lead to delayed diagnosis of gallstone ileus.
  • Small bowel obstruction (SBO) presentation requires careful diagnostic consideration.

Observation:

  • The patient presented with a 2-day history of SBO.
  • Initial plain abdominal radiography suggested SBO but was inconclusive for gallstone ileus.
  • The patient had a history of gallstone disease and no prior abdominal surgeries.

Findings:

  • Computed tomography (CT) of the abdomen is superior to plain radiography for diagnosing gallstone ileus.
  • CT excels at detecting subtle findings like small amounts of gas and differentiating soft tissue densities.
  • Early CT imaging is vital for accurate diagnosis and management of suspected gallstone ileus.

Implications:

  • This case highlights the diagnostic limitations of plain radiography for gallstone ileus.
  • Emphasizes the critical role of early CT scanning in patients with suspected gallstone ileus.
  • Timely diagnosis through CT imaging can prevent delayed treatment and improve patient outcomes.