Discussion in 'Spot Diagnosis' started by dracomalfoy, Aug 21, 2012.
What's your diagnosis of this case?
top arrow : air in the portal vein branches
below arrows : air in the wall of bowel(Pneumatosis Intestinalis)
Cause : ischemia
Pneumobilia(upper arrow) & gallstone ileus(lower arrow)
It can be intenstinal ileus and portal vein hypertension.
Ans: Gallstone Ileus
A mechanical obstruction resulting from the passage of a large Gallstone into the bowel through a cholecystoduodenal fistula. Obstruction is often at ileocecal junction.
It Classically presents as subacute SBO in an elderly woman.
The Gallstone ( 2.6 cm in this case ), Intestinal Ileus & the characteristic Pneumobilia ( Air in the Biliary Tree ) are clearly seen in this image.
Separate names with a comma.