Presentation
Acute abdominal pain.
Patient Data
Age: 65 years
Gender: Male
From the case:
Gallstone ileus without pneumobilia
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Small bowel obstruction secondary to large obstructing gallbladder stone.
Case Discussion
This is an unusual case of gallstone ileus where there is no pneumobilia or cholecystic gas present. The CT was initially reported as small bowel obstruction secondary to intussusception; however, a 3.3 cm obstructing gallstone (with internal gas) was found at surgery.
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