[A cholecysto-enteric fistula with a gallstone ileus diagnosed by CT].
Gallstone ileus is an uncommon but severe complication of cholecystitis, which can only occur following perforation of the gallbladder and formation of a cholecystoenteric fistula. The diagnosis can be established by means of abdominal plain film when the classic triad described by Rigler (small-bowel obstruction, ectopic gallstone and pneumobilia) is observed. A patient with abdominal obstruction and equivocal findings on plain film X-ray and abdominal sonography is presented, in whom the gallstone ileus was reliably diagnosed by CT.
Schima
W
W
Universitätsklinik für Radiodiagnostik Wien.
Steiner
E
E
D000368:Aged; D001658:Biliary Fistula / Q000000981:diagnostic imaging*; D002769:Cholelithiasis / Q000000981:diagnostic imaging*; D005705:Gallbladder Diseases / Q000000981:diagnostic imaging*; D006801:Humans; D007412:Intestinal Fistula / Q000000981:diagnostic imaging*; D007415:Intestinal Obstruction / Q000000981:diagnostic imaging*; D007421:Intestine, Small; D008297:Male; D014057:Tomography, X-Ray Computed
Cholezystoenterische Fistel mit Gallensteinileus in der CT.