PMC3850963_01
CT scan L-L: Marked hydro-gaseous distention of jejunum-ileal loops with multiples air-fluid levels.
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PMC3850963_01_1471-2482-13-S2-S6-1.jpg
F1
TC with contrast to abdomen and pelvis, performed in emergency, shows a marked hydrogaseous distension of jejunum-ileal loops (Figure 1) extended distally up to the terminal ileum where a coarse endoluminal mass (max diam. 2,5 mm) can be detected (Figure 2), with calcium density, multilayered, that indicates a gallstone; it is also present hard gallbladder with thickened walls (Figure 3).
CT scan case 1: The gallstone is clearly detectable within the lumen of ileus.
1471-2482-13-S2-S6-2.jpg
PMC3850963_01_1471-2482-13-S2-S6-2.jpg
F2
TC with contrast to abdomen and pelvis, performed in emergency, shows a marked hydrogaseous distension of jejunum-ileal loops (Figure 1) extended distally up to the terminal ileum where a coarse endoluminal mass (max diam. 2,5 mm) can be detected (Figure 2), with calcium density, multilayered, that indicates a gallstone; it is also present hard gallbladder with thickened walls (Figure 3).
CT scan case 1: Gallbladder with thickened walls and with hydrogaseous levels.
1471-2482-13-S2-S6-3.jpg
PMC3850963_01_1471-2482-13-S2-S6-3.jpg
F3
TC with contrast to abdomen and pelvis, performed in emergency, shows a marked hydrogaseous distension of jejunum-ileal loops (Figure 1) extended distally up to the terminal ileum where a coarse endoluminal mass (max diam. 2,5 mm) can be detected (Figure 2), with calcium density, multilayered, that indicates a gallstone; it is also present hard gallbladder with thickened walls (Figure 3).
PMC3850963_02
CT scan case 2: Intestin loops distention, with air-fluid levels and endoluminal gallstone.
1471-2482-13-S2-S6-4.jpg
PMC3850963_02_1471-2482-13-S2-S6-4.jpg
F4
An x-ray of the abdomen is performed in urgency and highlights the presence of multiple air-fluid levels; in order to achieve a better knowledge of the patient's situation, we decide to perform abdomen and pelvis TC with contrast which shows the classic triad of gallstone ileus: hard gallbladder, intestine loops distension and air-fluid levels, presence of gallstones in jejunum loops lumen (Figure 4).