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Title:Ultrasound diagnosis of gallstone ileus - a case report
Authors:ID Vidmar, Dubravka (Author)
ID Repše, Stanislav (Author)
Files:.pdf PDF - Presentation file, download (700,60 KB)
MD5: 25ADC1FB5F340DB93BB79117C76DF693
 
Language:English
Typology:1.04 - Professional Article
Organization:Logo OI - Institute of Oncology
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.
Publication status:Published
Publication version:Version of Record
Publication date:01.01.1999
Publisher:Slovenian Medical Association - Slovenian Association of Radiology, Nuclear Medicine Society, Slovenian Society far Radiotherapy and Oncology, and Slovenian Cancer Society
Year of publishing:1999
Number of pages:str. 95-99
Numbering:Letn. 33, št. 2
Source:Ljubljana
PID:20.500.12556/DiRROS-17916 New window
UDC:61
ISSN on article:1318-2099
COBISS.SI-ID:9969369 New window
Copyright:by Authors
Note:BSDOCID44936;
Publication date in DiRROS:22.01.2024
Views:186
Downloads:36
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Record is a part of a journal

Title:Radiology and oncology
Shortened title:Radiol. oncol.
Publisher:Slovenian Medical Society - Section of Radiology, Croatian Medical Association - Croatian Society of Radiology
ISSN:1318-2099
COBISS.SI-ID:32649472 New window

Secondary language

Language:Slovenian
Title:Ultrazvočno diagnosticiran biliarni ileus - prikaz primera
Abstract: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 obstrukcijskegaileusa 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.


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