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Open Access 01-04-2018 | Review Article

Clinical and radiological diagnosis of gallstone ileus: a mini review

Authors: Liisa Chang, Minna Chang, Hanna M. Chang, Aina I. Chang, Fuju Chang

Published in: Emergency Radiology | Issue 2/2018

Abstract

Gallstone ileus is a rare cause of bowel obstruction, which mainly affects the elderly population. The associated mortality is estimated to be up to 30%. The presentation of gallstone ileus is notoriously non-specific, and this often contributes to the delay in diagnosis. The diagnosis of gallstone ileus relies on a radiological approach, and herein we discuss the benefits and drawbacks of the use of different modalities of radiological imaging: plain abdominal films, computed tomography, magnetic resonance imaging, and ultrasound scanning. Based on our case experience and review of the literature, the authors conclude that although an effective first-line tool, plain abdominal films are not adequate for diagnosing gallstone ileus. In fact, the gold standard in an acutely unwell patient is computed tomography.

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Title: Clinical and radiological diagnosis of gallstone ileus: a mini review
Authors: Liisa Chang
Minna Chang
Hanna M. Chang
Aina I. Chang
Fuju Chang
Publication date: 01-04-2018
Publisher: Springer Berlin Heidelberg
Published in: Emergency Radiology / Issue 2/2018
Print ISSN: 1070-3004
Electronic ISSN: 1438-1435
DOI: https://doi.org/10.1007/s10140-017-1568-5

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Clinical and radiological diagnosis of gallstone ileus: a mini review

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