Swinnen L, Sainte T
Department of Radiology, St.-Elisabethziekenhuis, Turnhout, Belgium.
J Belge Radiol. 1994 Dec;77(6):272-4.
We present a rare case of colonic gallstone obstruction in a patient with cholecystocolic fistula. Ultrasound was able to detect the Rigler triad whereas plain film initially only showed ileus. Contrast enema and ERCP failed to show a biliary-enteric fistula. Only the combination of colonoscopy and contrast fistulography evidenced the cholecystocolic connection. The difficulties in establishing the correct radiologic diagnosis of gallstone ileus and in visualizing the biliary-enteric fistula are discussed.
我们报告了一例患有胆囊结肠瘘的患者发生结肠胆结石梗阻的罕见病例。超声能够检测到里格勒三联征，而平片最初仅显示肠梗阻。结肠造影和内镜逆行胰胆管造影（ERCP）未能显示胆肠瘘。只有结肠镜检查和造影瘘管造影相结合才能证实胆囊结肠连接。文中讨论了在正确进行胆结石性肠梗阻的放射学诊断以及可视化胆肠瘘方面存在的困难。
