Imaging diagnosis of gallstone ileus
10.3760/cma.j.issn.1673-9752.2014.01.019
- VernacularTitle:胆石性肠梗阻的影像学诊断
- Author:
Enlong CHEN
;
Zhenguo ZHAO
;
Haijing SUI
;
Xiuhai XIE
;
Bangwei QIAN
;
Yuzhang HUANG
- Publication Type:Journal Article
- Keywords:
Cholelithiasis;
Bowel obstruction;
Imaging diagnosis
- From:Chinese Journal of Digestive Surgery
2014;13(1):65-68
- CountryChina
- Language:Chinese
-
Abstract:
Gallstone ileus is a rare and potentially serious complication of cholelithiasis.Its clinical symptoms are nonspecific.From March 2005 to September 2012,19 patients with gallstone ileus confirmed by surgery or endoscopy were admitted to the Pudong New Area People's Hospital.The accuracies of X-ray,uhrasonography,CT and magnetic resonance imaging (MRI) were 0/10,0/5,19/19 and 9/9,respectively.CT examination might be the first choice for diagnosing gallstone ileus ; the classical computed tomography (CT) presentation of gallstone ileus was the Rigler triad,including pneumobilia,ectopic stone and mechanical ileus; MRI examination was superior to CT examination in exposing the fistula,and can provide abundant information,which is important for designing the surgical procedures and judging the prognosis; X-ray and ultrasonography are beneficial in screening the diseases.
