Rigler triad in gallstone ileus.
Gallstone ileus is an exceptional complication among billiary diseases. It is defined as an intestinal obstruction caused by a gallstone as it passes through a bilio-digestive fistula. This is disease with high morbi-mortality, and whose main contributing factors are the advanced age of the patients, comorbidities and the delayed diagnosis. Most of the times, it is a postoperative diagnosis and a high clinical suspicion is essential for an early diagnosis. In patients with gallstone ileus the abdominal X-ray is frequently nonspecific and to observe a complete Rigler triad is exceptional.
Cirugía general y del Aparato Digestivo, Hospital Universitario 12 de Octubre, España.
Lorena
L
Brandariz Gil
Servicio de Cirugía General, Hospital 12 de Octubre, España.
Tamara
T
Fernández de Miguel
Cirugía General y del Aparato Digestivo, Hospital Universitario 12 de Octubre, España.
José
J
Perea
D000369:Aged, 80 and over; D057210:Delayed Diagnosis; D005260:Female; D042882:Gallstones / Q000150:complications* / Q000000981:diagnostic imaging / Q000601:surgery; D006801:Humans; D045823:Ileus / Q000150:complications* / Q000000981:diagnostic imaging / Q000601:surgery; D007415:Intestinal Obstruction / Q000209:etiology; D014057:Tomography, X-Ray Computed