An unusual cause of abdominal pain: gallstone ileus

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An unusual cause of abdominal pain: gallstone ileus.

A 74-year-old Taiwanese woman with diabetes mellitus came to the emergency department with a 1-week period of diffuse abdominal pain. She had been followed for asymptomatic gallstone (Figure 1A). Physical examination showed diffuse tenderness of abdomen and plain film of abdomen revealed intestinal obstruction (Figure 1B). Total serum bilirubin was 0.6mg/dl, glutamate oxaloacetate transaminase ...

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Gallstone Ileus of the Sigmoid Colon: An Unusual Cause of Large-Bowel Obstruction

Gallstone ileus of the colon is an exceedingly rare cause of large-bowel obstruction. It is usually the result of fistula formation between the gallbladder and large bowel facilitating entry of the stone into gastrointestinal tract. Contrast enhanced abdominal computed tomography is an important diagnostic aid. Surgical management is the treatment of choice to prevent the disastrous complicatio...

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ژورنال

عنوان ژورنال: QJM

سال: 2011

ISSN: 1460-2725,1460-2393

DOI: 10.1093/qjmed/hcq253