An 85-year-old woman hasa 48-hour history of generalized abdominal pain and vomiting. On examination, she is dehydrated multiple dilated small bowel loops measuring up to 4 cm in diameter. A linear gas-filled structure is present in the right upper quadrant with short branches extending from it. What is the most likely diagnosis?
Correct Answer: Gallstone ileus
Description: Ans CSmall bowel obstruction in an elderly patient with evidence of pneumobilia is suggestive of Gall stone ileusQ. Imaging features of gall stone ileus are: Pneumobilia which appears as central branching air lucencies in the liver, small bowel obstruction and radiopaque density in the abdomen (most common site of impaction is the terminal ileum).
Category:
Radiology
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