Radiology Lectures | Radquarters

Case of the Week: Gallstone Ileus (X-ray & CT)

Listen Later

In this radiology lecture, we discuss the appearance of gallstone ileus on x-ray and CT.

Key points include:

  • Gallstone ileus is a rare complication of chronic cholecystitis.
  • Actually not an ileus, but a small bowel obstruction.
  • Gallstone migrates through a fistula between gallbladder and small bowel (usually duodenum) and becomes impacted in the terminal ileum.
  • Stone can also impact in the proximal ileum, jejunum, even in the duodenum/distal stomach causing gastric outlet obstruction (Bouveret syndrome).
  • Rigler triad on abdominal x-ray: Small bowel obstruction, pneumobilia and gallstone in the right iliac fossa.
  • Usually affects the elderly and treated surgically.

    • Click the YouTube Community tab or follow on social media for bonus teaching material posted throughout the week!

    Instagram: https://www.instagram.com/radiologistHQ/

    Facebook: https://www.facebook.com/radiologistHeadQuarters/
    Twitter: https://twitter.com/radiologistHQ

    The post Case of the Week: Gallstone Ileus (X-ray & CT) appeared first on Radquarters.

    ...more
    View all episodesView all episodes
    Download on the App Store
    Radiology Lectures | RadquartersBy Daniel J. Kowal, MD
    • 4.9
    • 4.9
    • 4.9
    • 4.9
    • 4.9

    4.9

    76 ratings

    More shows like Radiology Lectures | Radquarters

    View all
    Radiolab by WNYC Studios

    Radiolab

    43,935 Listeners

    The Moth by The Moth

    The Moth

    27,330 Listeners

    Planet Money by NPR

    Planet Money

    30,928 Listeners

    Radiology Podcasts | RSNA by The Radiological Society of North America

    Radiology Podcasts | RSNA

    86 Listeners

    Freakonomics Radio by Freakonomics Radio + Stitcher

    Freakonomics Radio

    32,174 Listeners

    The Daily by The New York Times

    The Daily

    111,294 Listeners

    The Diary Of A CEO with Steven Bartlett by DOAC

    The Diary Of A CEO with Steven Bartlett

    6,911 Listeners

    RadioGraphics Podcasts | RSNA by Radiological Society of North America (RSNA)

    RadioGraphics Podcasts | RSNA

    28 Listeners

    AJR Podcasts by AJR

    AJR Podcasts

    43 Listeners

    The Radiology Review Podcast by Matt Covington

    The Radiology Review Podcast

    202 Listeners

    Radiology Core Exam Review by Mohammad Halaibeh MD

    Radiology Core Exam Review

    23 Listeners

    Huberman Lab by Scicomm Media

    Huberman Lab

    28,272 Listeners

    The Economics of Everyday Things by Freakonomics Network & Zachary Crockett

    The Economics of Everyday Things

    1,585 Listeners

    The Radiopaedia Reading Room Podcast by Andrew Dixon & Frank Gaillard

    The Radiopaedia Reading Room Podcast

    41 Listeners

    Point Me To First Class by Devon Gimbel MD

    Point Me To First Class

    1,147 Listeners