Summary of Gallstone ileus
Flashcards on Gallstone ileus
The diagnosis of gallstone ileus is typically clinical and is considered when there is air in the on X-ray.
Questions on Gallstone ileus
A 72-year-old woman comes to the emergency department because of intermittent abdominal pain associated with persistent nausea and vomiting for the last five days. She had an episode of vomiting with hematemesis six hours ago. Her past medical history is significant for diabetes mellitus and hypertension. Her current medications are metformin and lisinopril. Her temperature is 38.2°C (100.8°F), pulse is 118/min, respirations are 22/min, and blood pressure is 110/60 mm Hg. Physical examination shows abdominal distention and tenderness as well as increased bowel sounds. Laboratory studies show:
Leukocyte count: 23,250/mm3
Hemoglobin: 12 g/dLHematocrit: 46%Platelets: 400,000/µLTotal bilirubin, 2.0 mg/dLLipase: 140 U/LAST, SGOT: 47 U/LALT, SGPT: 45 U/L
In addition to signs of partial or complete intestinal obstruction, which of the following is a radiologic finding that might be present in this patient?