Ultrasonography in the diagnosis of gallstone ileus: Report of a case

Q4 Medicine 胃肠病学 Pub Date : 1997-09-01 DOI:10.6557/GJTB.199709_14(3).0006
K. Wu, S. Pan, Sheng‐Hsuan Chen, Jean‐Dean Liu, G. Lien, Chun-Chao Chang
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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.
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超声诊断胆石性肠梗阻1例
胆结石性肠梗阻是一种罕见的机械性肠梗阻,由一个或多个胆结石嵌塞在肠道中引起。80%的病例涉及回肠。诊断困难、诊断延迟和患者年龄大是其死亡率高的原因。我们在此报告一例术前超声诊断的胆结石性肠梗阻,患者术后存活,仅有少数与患者虚弱的医疗问题相关的并发症。重点介绍了老年急腹症患者的诊治方法;除了传统的x线造影术外,超声也可作为一种检测胆结石性肠梗阻的工具。
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来源期刊
胃肠病学
胃肠病学 Medicine-Gastroenterology
CiteScore
0.10
自引率
0.00%
发文量
4567
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.
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