K. Wu, S. Pan, Sheng‐Hsuan Chen, Jean‐Dean Liu, G. Lien, Chun-Chao Chang
{"title":"Ultrasonography in the diagnosis of gallstone ileus: Report of a case","authors":"K. Wu, S. Pan, Sheng‐Hsuan Chen, Jean‐Dean Liu, G. Lien, Chun-Chao Chang","doi":"10.6557/GJTB.199709_14(3).0006","DOIUrl":null,"url":null,"abstract":"Gallstone ileus is an uncommon mechanical bowel obstruction caused by impaction of one or more gallstones in the intestine. The ileum is involved in about 80% of cases. Difficult and delayed diagnosis and old age of the patients account for its high mortality. We herein report one case with gallstone ileus diagnosed by ultrasound preoperatively in which the patient survived after surgery with only a few complications related to the patient's debilitated medical problems. Emphasis is also put upon how to deal with acute abdomen in elderly patients; in addition to traditional roentgenography, ultrasound may afford a tool to detect gallstone ileus.","PeriodicalId":10003,"journal":{"name":"胃肠病学","volume":"14 1","pages":"264-268"},"PeriodicalIF":0.0000,"publicationDate":"1997-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"胃肠病学","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.6557/GJTB.199709_14(3).0006","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"Medicine","Score":null,"Total":0}
引用次数: 0
Abstract
Gallstone ileus is an uncommon mechanical bowel obstruction caused by impaction of one or more gallstones in the intestine. The ileum is involved in about 80% of cases. Difficult and delayed diagnosis and old age of the patients account for its high mortality. We herein report one case with gallstone ileus diagnosed by ultrasound preoperatively in which the patient survived after surgery with only a few complications related to the patient's debilitated medical problems. Emphasis is also put upon how to deal with acute abdomen in elderly patients; in addition to traditional roentgenography, ultrasound may afford a tool to detect gallstone ileus.
期刊介绍:
Gastroenterology is an academic journal sponsored by Shanghai Jiao Tong University School of Medicine. It mainly publishes original research papers, reviews and comments in this field. The journal was founded in 1996 and is included in well-known databases such as Peking University Journal (Chinese Journal of Humanities and Social Sciences) and Statistical Source Journal (China's Excellent Science and Technology Papers Journal). It is one of the national key academic journals under the jurisdiction of the Ministry of Education. Gastroenterology enjoys a high reputation and influence in the academic community. The articles published in this journal have a high academic level and practical value, providing readers with more actual cases and industry information, and have received widespread attention and citations from readers.