CLINICAL UTILITY OF RADIOLOGICAL IMAGING IN THE EVALUATION OF GALLSTONE ILEUS

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dc.contributor.authorÖzdemir, Adnan
dc.contributor.authorYılmazsoy, Yunus
dc.contributor.authorArslan, Serdar
dc.contributor.authorPehlivanlı, Faruk
dc.date.accessioned2025-01-21T16:17:18Z
dc.date.available2025-01-21T16:17:18Z
dc.date.issued2019
dc.departmentKırıkkale Üniversitesi
dc.description.abstractObjective: 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.
dc.identifier.doi10.24938/kutfd.590975
dc.identifier.endpage358
dc.identifier.issn2148-9645
dc.identifier.issue3
dc.identifier.startpage353
dc.identifier.trdizinid415771
dc.identifier.urihttps://doi.org/10.24938/kutfd.590975
dc.identifier.urihttps://search.trdizin.gov.tr/tr/yayin/detay/415771
dc.identifier.urihttps://hdl.handle.net/20.500.12587/22611
dc.identifier.volume21
dc.indekslendigikaynakTR-Dizin
dc.language.isoen
dc.relation.ispartofKırıkkale Üniversitesi Tıp Fakültesi Dergisi
dc.relation.publicationcategoryMakale - Ulusal Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/openAccess
dc.snmzKA_20241229
dc.subjectGenel ve Dahili Tıp
dc.subjectRadyoloji
dc.subjectNükleer Tıp
dc.subjectTıbbi Görüntüleme
dc.titleCLINICAL UTILITY OF RADIOLOGICAL IMAGING IN THE EVALUATION OF GALLSTONE ILEUS
dc.typeArticle

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