Consecutive instances of gallstone ileus due to obstruction first at the ileum and then at the duodenum complicating a gallbladder carcinoma: a case report.
Ectopic gallstone obstruction, gallstone ileus, due to cholecystoenteric fistula is an infrequent condition. Its occurrence as a complication of a gallbladder (GB) carcinoma is even more rare. We describe an unusual case of a GB carcinoma complicated by a cholecystoduodenal fistula leading to first gallstone obstruction in the ileum and then, later, in the duodenum, in which an accurate preoperative diagnosis was based on pathognomonic computerized tomography (CT) features. A correct diagnosis of this may be crucial and requires prompt surgical intervention; radiologists should be familiar with their classic CT appearance.
Zissin
R
R
Department of Diagnostic Imaging, Meir General Hospital, Sapir Medical Center, Kfar Saba, affiliated to the Sackler School of Medicine, Tel Aviv University, Tel Aviv, Israel. zisinrivka@clalit.org.il
Osadchy
A
A
Klein
E
E
Konikoff
F
F
D000368:Aged; D003287:Contrast Media; D003937:Diagnosis, Differential; D004380:Duodenal Obstruction / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery; D005260:Female; D005706:Gallbladder Neoplasms / Q000150:complications* / Q000000981:diagnostic imaging / Q000601:surgery; D042882:Gallstones / Q000150:complications* / Q000000981:diagnostic imaging / Q000601:surgery; D006801:Humans; D007082:Ileum; D045823:Ileus / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery; D014057:Tomography, X-Ray Computed
D003287:Contrast Media