20.500.12556/DiRROS-17916 Ultrasound diagnosis of gallstone ileus - a case report Ultrazvočno diagnosticiran biliarni ileus - prikaz primera 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. 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. true false true Slovenian Medical Association - Slovenian Association of Radiology, Nuclear Medicine Society, Slovenian Society far Radiotherapy and Oncology, and Slovenian Cancer Society Ljubljana Angleški jezik Slovenski jezik by Authors Neznano 2024-01-22 12:58:45 2024-01-22 12:58:45 2024-01-23 03:41:23 0000-00-00 00:00:00 1999 0 0 BSDOCID44936; str. 95-99 št. 2 Letn. 33 1999 0000-00-00 Zaloznikova Objavljeno NiDoloceno 0000-00-00 0000-00-00 1999-01-01 61 1318-2099 9969369 RAZ_Vidmar_Dubravka_1999.pdf RAZ_Vidmar_Dubravka_1999.pdf 1 25ADC1FB5F340DB93BB79117C76DF693 ff3a6e8e0125db5c5241ed64270aa2c7e1deab42d7368352f7004f0851a1c1ef c77d60ab-b91d-11ee-b0d4-001a4af901a5 https://dirros.openscience.si/Dokument.php?lang=slv&id=24301 Onkološki inštitut Ljubljana 0 0 0