title: [Unusual form of ileus, except in elderly patients?].
abstract: Two women aged 88 and 92, recently admitted to hospital, were diagnosed with gallstone ileus. Over a longer period of time they had suffered intermittently from abdominal pain related to a migrating and impacting stone. This disease is mostly diagnosed correctly during exploratory laparotomy for persistent intestinal obstruction. CT scanning, however, is a new and helpful way to early diagnosis. Both women had successful surgery. Gallstone ileus is a disease of the elderly; its early diagnosis is important. CT can be very helpful in this respect.
authors.affiliation: Afd. Algemene Heelkunde, Deventer Ziekenhuis.
authors.forename: K
authors.initials: K
authors.lastname: Reijnders
authors.forename: G J
authors.initials: GJ
authors.lastname: Wagenmakers
authors.forename: M A
authors.initials: MA
authors.lastname: van der Drift
authors.forename: M
authors.initials: M
authors.lastname: Eeftinck Schattenkerk
authors.forename: E H
authors.initials: EH
authors.lastname: Eddes
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D002761:Cholangitis / Q000209:etiology; D002769:Cholelithiasis / Q000150:complications / Q000175:diagnosis*; D003937:Diagnosis, Differential; D005260:Female; D042882:Gallstones / Q000150:complications / Q000175:diagnosis; D006801:Humans; D007415:Intestinal Obstruction / Q000175:diagnosis* / Q000209:etiology* / Q000601:surgery; D007421:Intestine, Small / Q000000981:diagnostic imaging / Q000473:pathology*; D007813:Laparotomy; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome