[Ultrasonographic diagnosis of a biliary-digestive fistula with gallstone ileus].
METHODS
A 72-year-old woman was admitted to the hospital with upper abdominal pain, nausea, vomiting, and obstipation.


METHODS
Percutaneous ultrasound found aerobilia, a biliary-digestive fistula, and an ileus with gallstones within the small bowel. The findings were confirmed at computed tomography.


METHODS
A gallstone ileus on the basis of a biliary-digestive fistula was diagnosed. The patient was treated by surgery and with antibiotics.


CONCLUSIONS
This case report demonstrates that percutaneous ultrasonography should be used as the first imaging procedure in the diagnosis of acute abdominal pain. This procedure makes it possible to detect a gallstone ileus. It is important also to define various intestinal structures accurately.
Medizinische Klinik, AMEOS Klinikum St. Salvator Halberstadt.
P
P
Rauh
H
H
Neye
D
D
Ensberg
P
P
Bönicke
E
E
Georgiew
S
S
Rickes
D000006:Abdomen, Acute / Q000000981:diagnostic imaging* / Q000601:surgery; D000368:Aged; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D001658:Biliary Fistula / Q000000981:diagnostic imaging* / Q000601:surgery; D002763:Cholecystectomy; D003131:Combined Modality Therapy; D004378:Duodenal Diseases / Q000601:surgery; D005260:Female; D042882:Gallstones / Q000000981:diagnostic imaging* / Q000601:surgery; D006801:Humans; D007077:Ileal Diseases / Q000000981:diagnostic imaging* / Q000601:surgery; D045823:Ileus / Q000000981:diagnostic imaging* / Q000601:surgery; D007412:Intestinal Fistula / Q000000981:diagnostic imaging* / Q000601:surgery; D012680:Sensitivity and Specificity; D014057:Tomography, X-Ray Computed; D014463:Ultrasonography
D000900:Anti-Bacterial Agents