Gallstone ileus displaying the typical Rigler triad and an occult second ectopic stone

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Gallstone ileus displaying the typical Rigler triad and an occult second ectopic stone

RATIONALE Gallstone ileus is a rare complication of cholecystolithiasis. It has a female predominance and can result in high mortality rates. PATIENT CONCERNS A 71-year-old woman complaining of recurrent vomiting and vague epigastralgia for > 2 weeks presented to our department. DIAGNOSIS Based on her physical examination, laboratory test results and radiographic findings (the typical Rigle...

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Rigler triad in gallstone ileus.

E690 CMAJ, October 1, 2013, 185(14) © 2013 Canadian Medical Association or its licensors A90-year-old man was admitted with acute-onset, pressing retrosternal pain and diffuse abdominal discomfort. Electrocardiography and cardiac troponin levels ruled out an acute coronary syndrome. Plain radiography of the abdomen (Figure 1A) showed multiple air–fluid levels and air in the biliary tree (pneumo...

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Gallstone Ileus following Endoscopic Stone Extraction

An 85-year-old woman was an outpatient treated at Tokyo Rosai Hospital for cirrhosis caused by hepatitis B. She had previously been diagnosed as having common bile duct stones, for which she underwent endoscopic retrograde cholangiopancreatography (ERCP). However, as stone removal was unsuccessful, a plastic stent was placed after endoscopic sphincterotomy. In October 2012, the stent was replac...

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Gallstone Ileus of the Colon: Leave No Stone Unturned

A case of gallstone ileus of the colon with illustrative pictures is presented, making the physicians more aware of this rare entity. Furthermore, the use of imaging modalities for diagnosis and decision making in management strategy is discussed.

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To leave no stone unturned: cholelithiasis and subsequent gallstone ileus.

To cite: Yong E, Chiu TF, Kamel H, et al. BMJ Case Rep Published online: [please include Day Month Year] doi:10.1136/bcr-2016215348 DESCRIPTION A 68-year-old man was admitted after a sudden collapse and a 5-day history of severe vomiting. On admission, he was hypotensive with a blood pressure of 70/60 mm Hg and had to be fluid resuscitated with 3 L of intravenous fluids via a femoral venous cat...

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ژورنال

عنوان ژورنال: Medicine

سال: 2017

ISSN: 0025-7974

DOI: 10.1097/md.0000000000008541