CLINICAL UTILITY OF RADIOLOGICAL IMAGING IN THE EVALUATION OF GALLSTONE ILEUS
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Tarih
2019
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Erişim Hakkı
info:eu-repo/semantics/openAccess
Özet
Objective: Gallstone ileus is a rare complication ofcholelithiasis. It occurs as a result of the passage of bile stonesinto intestinal system via bilioenteric fistulae, which are formedby recurrent attacks of cholecystitis, and obstruction of theintestinal lumen. The objective of our study was to discuss theimaging findings of gallstone ileus among patients diagnosed atour center.Material and Methods: Among patients that admitted to ourhospital’s radiology department between December 2016 andJanuary 2019, the medical records of those with a history of gallbladder stone detected on ultrasonography were retrospectivelyevaluated. Among those, cases of gallstone ileus were identified.Admission complaints, age, sex, comorbidities, radiologicalimaging findings, fistula localization, stone size, and obstructionlevel were recorded and analyzed.Results: Among 958 patients with bile stones, 342 (35.7%)were male and 616 (64.3%) were female. Gallstone ileus wasidentified in five patients. Three of them were female (mean age76.67± 13.05 years) and 2 were male (mean age 59±1.41 years).Ileus signs were detected on plain radiograms for all patients.The gallbladders were not clearly visualized by ultrasonographyin any of patients with gallstone ileus. A diameter increasesuggestive of ileus was detected in visualizable intestinalsegments. Computed tomography to identify the cause of ileusrevealed air in the bile ducts, cholecystoduodenal fistula, stonesin intestinal lumen, and an appearance consistent with ileusproximal to that segment. The mean size of the stones was26.20±16.3 mm (16-55 mm).Conclusion: Although gallstone ileus is a rare cause ofintestinal obstruction, it should be definitely remembered in thedifferential diagnosis in patients with advanced age and ahistory of cholelithiasis who present to the emergencydepartment.
Açıklama
Anahtar Kelimeler
Genel ve Dahili Tıp, Radyoloji, Nükleer Tıp, Tıbbi Görüntüleme
Kaynak
Kırıkkale Üniversitesi Tıp Fakültesi Dergisi
WoS Q Değeri
Scopus Q Değeri
Cilt
21
Sayı
3
