Consecutive instances of gallstone ileus due to obstruction first at the ileum and then at the duodenum complicating a gallbladder carcinoma: A case report

被引:8
作者
Zissin R. [1 ]
Osadchy A. [1 ]
Klein E. [2 ]
Konikoff F. [3 ]
机构
[1] Department of Diagnostic Imaging, Meir General Hospital, Tel Aviv University, Tel Aviv
[2] Department of Surgery B, Meir General Hospital, Tel Aviv University, Tel Aviv
[3] Department of Gastroenterology, Meir General Hospital, Tel Aviv University, Tel Aviv
关键词
Bouveret's syndrome; Carcinoma; Cholecystoenteric; Computerized tomography; Fistula; Gallbladder; Gallstone ileus; Obstruction; Small bowel;
D O I
10.1007/s10140-005-0448-6
中图分类号
学科分类号
摘要
Ectopic gallstone obstruction, gallstone ileus, due to cholecystoenteric fistula is an infrequent condition. Its occurrence as a complication of a gallbladder (GB) carcinoma is even more rare. We describe an unusual case of a GB carcinoma complicated by a cholecystoduodenal fistula leading to first gallstone obstruction in the ileum and then, later, in the duodenum, in which an accurate preoperative diagnosis was based on pathognomonic computerized tomography (CT) features. A correct diagnosis of this may be crucial and requires prompt surgical intervention; radiologists should be familiar with their classic CT appearance. © Am Soc Emergency Radiol 2005.
引用
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页码:108 / 110
页数:2
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