Rigler triad in gallstone ileus

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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 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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Recurrent gallstone ileus.

We present the case of a recurrent gallstone ileus in a 76-year old female patient, which presented at our emergency department on January 15th 2015. In both episodes (January 16th and February 1st, 2015), only a simple enterotomy with stone extraction was performed. One year later, she is fully recovered and in good health. Recurrent gallstone ileus most often occurs in elderly patients with m...

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Recurrent gallstone ileus.

Mechanical small bowel obstructions caused by gallstones account for 1% to 3% of cases. In these patients, 80% to 90% of residual gallstones in these patients will pass through a remaining fistula without consequence. Recurrent gallstone ileus has been reported in 5% of patients. We report the case of a woman, aged 72 years, who presented with mechanical small bowel obstruction caused by gallst...

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Rigler's triad in gallstone ileus: a rare form of bowel obstruction.

Gallstone ileus is a rare cause of bowel obstruction and abdominal x-ray can identify small bowel obstruction, pneumobilia, and ectopic gallstone (Rigler’s triad) in less than 30% of the patients. We present herein the case of an 80-year-old woman diagnosed 4 years prior with chronic calculous cholecystitis that was untreated. Physical examination and clinical anamnesis were consistent with bow...

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ژورنال

عنوان ژورنال: Canadian Medical Association Journal

سال: 2013

ISSN: 0820-3946,1488-2329

DOI: 10.1503/cmaj.121432