Delabrousse E, Bartholomot B, Sohm O, Wallerand H, Kastler B
Department of Radiology A, CHU Jean Minjoz, University of Besançon, France.
Eur Radiol. 2000;10(6):938-40. doi: 10.1007/s003300051041.
Gallstone ileus is a rare complication of recurrent gallstone cholecystitis. The classic radiographic triad of small bowel obstruction, pneumobilia and ectopic gallstone on abdominal plain radiograph is described with CT imaging. Because of the better resolution of CT compared with abdominal radiography and its recent accession to emergency use, radiologists should be aware of CT findings of gallstone ileus. We report a case in which gallstone ileus was initially diagnosed by CT.
胆石性肠梗阻是复发性胆囊结石胆囊炎的一种罕见并发症。腹部平片上小肠梗阻、气腹和异位胆结石的典型影像学三联征可通过CT成像描述。由于CT与腹部X线摄影相比具有更好的分辨率,且最近已被用于急诊,放射科医生应了解胆石性肠梗阻的CT表现。我们报告一例最初通过CT诊断为胆石性肠梗阻的病例。