Case 205: renal stone ileus.
History An 80-year-old woman presented to the on-call surgical team with a 2-day history of abdominal distention and vomiting. Clinical examination revealed a distended tympanic abdomen with generalized tenderness but no evidence of peritoneal signs at physical examination. Relevant surgical history included previous intervention for renal stones, cholecystectomy, and cardiovascular and respiratory comorbidities. Abdominal radiography was performed in the emergency department, and computed tomography (CT) was performed based on the radiographic findings.
From the Department of Radiology, Royal Blackburn Hospital, Haslingden Rd, Blackburn, Lancashire BB2 3HH, England (L.S.M., S.L.); and Department of Clinical Biochemistry, University College London Hospitals, London, England (G.R.).
Lois S
LS
MacDonald
Gill
G
Rumsby
Snehal
S
Lapsia
D002763:Cholecystectomy; D003287:Contrast Media; D003937:Diagnosis, Differential; D006801:Humans; D045823:Ileus / Q000000981:diagnostic imaging* / Q000209:etiology*; D007472:Iohexol; D007669:Kidney Calculi / Q000150:complications* / Q000000981:diagnostic imaging* / Q000601:surgery; D014057:Tomography, X-Ray Computed
D003287:Contrast Media; D007472:Iohexol