HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS		QUICK SEARCH:   [advanced] Author: Keyword(s): Year:  Vol:  Page:

This Article Abstract Full Text Full Text (PDF) Alert me when this article is cited Alert me if a correction is posted Citation Map Services Email this article to a friend Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Download to citation manager Citing Articles Citing Articles via HighWire Citing Articles via Google Scholar Google Scholar Articles by Lassandro, F. Articles by Grassi, R. Search for Related Content PubMed PubMed Citation Articles by Lassandro, F. Articles by Grassi, R. Social Bookmarking                      What's this? Hotlight (NEW!) What's Hotlight?

Role of Helical CT in Diagnosis of Gallstone Ileus and Related Conditions

¹ Department of Diagnostic Imaging, A. Cardarelli Hospital, Viale Cardarelli 9, Naples 80131, Italy.
² Department of Radiology, A. Monaldi Hospital, Naples, Italy.
³ Institute of Radiology, Second University of Naples, Naples, Italy.

View larger version (133K): [in a new window]   Fig. 1 —65-year-old woman with gallstone ileus (patient 30). CT scan shows air in gallbladder (arrow). Ectopic gallstone was found in ileum.

View larger version (145K): [in a new window]   Fig. 2A —90-year-old woman with gallstone ileus (patient 13). Axial MDCT image shows biliary–enteric fistula (arrow).

View larger version (111K): [in a new window]   Fig. 2B —90-year-old woman with gallstone ileus (patient 13). Volume-rendered axial CT scan shows ectopic, partially calcified stone (arrow); two other smaller calculi were also found.

View larger version (114K): [in a new window]   Fig. 2C —90-year-old woman with gallstone ileus (patient 13). Volume-rendered sagittal CT scan shows third diameter of stone seen in B.

View larger version (105K): [in a new window]   Fig. 3A —87-year-old man with recurrent gallstone ileus (patient 8). Axial CT image shows ectopic stone in jejunum (arrow).

View larger version (124K): [in a new window]   Fig. 3B —87-year-old man with recurrent gallstone ileus (patient 8). Axial CT scan allows visualization of cholecystenteric fistula (straight arrow) and persistence of residual stone in gallbladder (curved arrow).

View larger version (113K): [in a new window]   Fig. 3C —87-year-old man with recurrent gallstone ileus (patient 8). Axial CT scan 1 year later shows new stone (arrow) in sigmoid colon.

View larger version (122K): [in a new window]   Fig. 3D —87-year-old man with recurrent gallstone ileus (patient 8). Axial CT scan obtained at same time as C shows no evidence of stones in gallbladder; however, cholecystenteric fistula (arrow) is still detectable.

View larger version (121K): [in a new window]   Fig. 3E —87-year-old man with recurrent gallstone ileus (patient 8). Surgery confirmed presence of stone in sigmoid colon.

View larger version (91K): [in a new window]   Fig. 4 —59-year-old woman with gallstone ileus (patient 23). Axial CT scan shows ectopic stone in jejunum (arrow).

View larger version (102K): [in a new window]   Fig. 5 —62-year-old man with gallstone ileus (patient 28). Axial CT scan shows partially calcified ectopic stone in jejunum (arrow) that was overlooked in first report.

View larger version (149K): [in a new window]   Fig. 6A —72-year-old woman with gallstone ileus (patient 3). CT scan shows ectopic stone spontaneously passed through ileocecal valve after subocclusive episodes (white arrow). Note also second stone in jejunum (black arrow) that was overlooked in first report.

View larger version (143K): [in a new window]   Fig. 6B —72-year-old woman with gallstone ileus (patient 3). CT coronal reconstruction shows second stone overlooked in first report (arrows), which caused intestinal obstruction 3 days later. Air in gallbladder (asterisk) is also seen.

CiteULike

Complore

Connotea

Del.icio.us

Digg

Reddit

Technorati