A 72-year-old woman presents to the ER with crampy abdominal pain. On plain film of her abdomen, you notice multiple air-fluid levels, small bowel dilatation, and a radio-opaque shadow in the right lower quadrant. Her colon appears decompressed. She also has pneumobilia despite never having surgery before or manipulation of her biliary system. The most likely diagnosis is:
سؤال مجاني 4 من 10 اليوم · اشترك وكمّل بدون حد
اعرض الإجابة
الإجابة والشرح
ادخل لحسابك عشان نحفظ إجاباتك ونوريك أخطاءك.
الإجابة: D. Gallstone ileus
These findings together point to gallstone ileus: SBO (air-fluid levels, dilated small bowel, collapsed colon), a radio-opaque shadow in the RLQ (a stone stuck in the terminal ileum) and pneumobilia with no previous biliary procedure. The air comes in through a cholecystoenteric fistula. Volvulus, intussusception and Crohn's can cause SBO, but none of them explains air in the biliary tree.
- المصدر
- Surgical Principles - Bowel Obstruction.pdf · p. 2
11• Biliary Tract Diseases [Notes].pdf · p. 4 - المحاضرة
- Bowel obstruction · General Surgery · Module D
- ظهر في
- Surgery QB (Module D) p. 39 Q31