Seal E C, Creagh M F, Finch P J
Department of Gastroenterology, St Peter's Hospital, Chertsey, Surrey, UK.
Postgrad Med J. 1995 May;71(835):313-5. doi: 10.1136/pgmj.71.835.313.
This case report illustrates the difficulties in making the clinical diagnosis of gallstone ileus. In addition to an unusual clinical picture, the changes normally expected on abdominal X-ray in gallstone ileus were subtle and missed in our patient. The diagnosis was made using abdominal computerised tomography (CT). We recommend the early use of abdominal CT scanning in the investigation of clinical bowel obstruction, especially in the elderly, where gallstone ileus is a more common condition.
本病例报告说明了胆囊结石性肠梗阻临床诊断中的困难。除了不寻常的临床表现外，胆囊结石性肠梗阻患者腹部X线检查通常预期出现的变化很细微，在我们的患者中被漏诊。诊断是通过腹部计算机断层扫描（CT）做出的。我们建议在临床肠梗阻的检查中尽早使用腹部CT扫描，尤其是在老年人中，因为胆囊结石性肠梗阻在老年人中更为常见。
