Author/Editor		Vidmar, Dubravka; Repše, Stane
Title		Ultrasound diagnosis of gallstone ileus - a case report
Translated title		Ultrazvočno diagnosticiran biliarni ileus - prikaz primera
Type		članek
Source		Radiol Oncol
Vol. and No.		Letnik 33, št. 2
Publication year		1999
Volume		str. 95-9
Language		eng
Abstract		Background. The diagnostic method of choice for ileus was a plain abdominal film. However, in the recent years, x-ray has been increasingly replaced by ultrasonography which, in experienced hands, can reveal ileus at an earlier stage and also identify the cause and site of obstruction. Case report. We reported about a male patient who was admitted to the Department of Gastroenterologic Surgery with severe abdominal pain and vomiting. A plain abdominal film showed an obstructive ileus and pneumobilia. Ultrasound examination of the abdomen confirmed the presence of ileus of the small intestine and demonstrated a gallstone impacted in the distal ileum. It also disclosed a distorted gallbladder adhering to the duodenum. The patient was treated surgically and had an uneventful postoperative course. Conclusions. Ultrasonography, in addition to diagnosing the ileus caused by an ectopic gallstone, is also able to identify the aetiology and site of obstruction.
Summary		Izhodišča. Kot diagnostično metodo izbora smo do nedavnega uporabljali rentgensko pregledno sliko trebuha, v novejšem času pa se vsebolj uveljavlja ultrazvok, ki v dovolj izkušenih rokah hitreje pokaže ileus, njegov vzrok in tudi mesto obstrukcije. Prikaz primera. Prikazujemo primer bolnika, ki je bil sprejet na oddelek za abdominalno kirurgijo zaradi hudih bolečin v trebuhu in bruhanja. Pregledna rentgenska slika trebuha je pokazala znake obstrukcijskega ileusa in zračni holangiogram. Ultrazvočni pregled trebuha je potrdil stanje ileusa ozkega črevesja, prikazal pa je tudi etiologijo ileusa in mesto obstrukcije - kamen v distalnem delu ileuma. Poleg tega je pokazal patološko spremenjen žolčnik, nalepljen na dvanajsternik. Bolnik je bil operiran, pooperativni potek je minil brez zapletov. Zaključki. Z ultrazvokom je možno ne le postaviti diagnozo ileusa, temveč tudi prikazati žolčne kamne kot vzrok ter mesto obstrukcije.
Descriptors		CHOLELITHIASIS INTESTINAL OBSTRUCTION MIDDLE AGE