[Diagnosis of gallstone ileus].
Gallstone ileus is a rare disorder, which, because it is often misdiagnosed preoperatively, may become life-threatening. The classic triad of Rigler (aerobilia, small bowel ileus and a calcified, dystopic stone) is visualized on abdominal plain films in only 14-35% of cases. Further work-up includes ultrasound, upper gastrointestinal series with water soluble contrast medium and computed tomography (CT). CT is especially reliable in demonstrating all three criteria.
Aschoff
A J
AJ
Abt. für diagnostische Radiologie, Universitätsklinikum Ulm.
Krämer
S C
SC
Rieber
A
A
Brambs
H J
HJ
Orth
M
M
Gansauge
F
F
Merkle
E M
EM
D000368:Aged; D000369:Aged, 80 and over; D002769:Cholelithiasis / Q000175:diagnosis*; D003952:Diagnostic Imaging; D004378:Duodenal Diseases / Q000175:diagnosis*; D005260:Female; D006801:Humans; D007077:Ileal Diseases / Q000175:diagnosis*; D007415:Intestinal Obstruction / Q000175:diagnosis*; D008297:Male; D008875:Middle Aged; D012680:Sensitivity and Specificity