Keywords
gallstone ileus, pneumobilia, jejunal obstruction
Date of Presentation
5-1-2025 12:00 AM
Poster Abstract
We present a case of a 48-year-old female with two-day history of diffuse abdominal pain, nausea and vomiting. She was diagnosed with small bowel obstruction due to gallstone ileus. Diagnosis is usually challenging due to its nonspecific presentation, but computed tomography reveals the classic findings of Rigler’s triad -- pneumobilia, bowel obstruction, and an ectopic gallstone. The patient underwent laparoscopy with enterolithotomy with subsequent resolution of symptoms. Prompt diagnosis through imaging and timely surgical intervention is critical for in preventing complications and improving patient outcomes.
Disciplines
Digestive System Diseases | Emergency Medicine | Gastroenterology | Medicine and Health Sciences | Pathological Conditions, Signs and Symptoms
Included in
Digestive System Diseases Commons, Emergency Medicine Commons, Gastroenterology Commons, Pathological Conditions, Signs and Symptoms Commons
Unusual Path: Gallstone Ileus with Pneumobilia and Jejunal Obstruction
We present a case of a 48-year-old female with two-day history of diffuse abdominal pain, nausea and vomiting. She was diagnosed with small bowel obstruction due to gallstone ileus. Diagnosis is usually challenging due to its nonspecific presentation, but computed tomography reveals the classic findings of Rigler’s triad -- pneumobilia, bowel obstruction, and an ectopic gallstone. The patient underwent laparoscopy with enterolithotomy with subsequent resolution of symptoms. Prompt diagnosis through imaging and timely surgical intervention is critical for in preventing complications and improving patient outcomes.
