Rauh P, Neye H, Ensberg D, Bönicke P, Georgiew E, Rickes S
Medizinische Klinik, AMEOS Klinikum St. Salvator Halberstadt.
Dtsch Med Wochenschr. 2010 Feb;135(7):287-9. doi: 10.1055/s-0029-1244849. Epub 2010 Feb 9.
A 72-year-old woman was admitted to the hospital with upper abdominal pain, nausea, vomiting, and obstipation.
Percutaneous ultrasound found aerobilia, a biliary-digestive fistula, and an ileus with gallstones within the small bowel. The findings were confirmed at computed tomography.
A gallstone ileus on the basis of a biliary-digestive fistula was diagnosed. The patient was treated by surgery and with antibiotics.
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.
一名72岁女性因上腹部疼痛、恶心、呕吐及便秘入院。
经皮超声检查发现气肿性胆囊炎、胆肠瘘及小肠内胆结石性肠梗阻。计算机断层扫描证实了这些发现。
诊断为基于胆肠瘘的胆结石性肠梗阻。患者接受了手术及抗生素治疗。
本病例报告表明，经皮超声检查应作为诊断急性腹痛的首选影像学检查方法。该检查方法能够检测出胆结石性肠梗阻。准确界定各种肠道结构也很重要。
